Abstract
ABSTRACT Retrosternal (intrathoracic) goiter has a prevalence of 4 to 20% of patients undergoing thyroidectomy for multinodular goiter. Although it is a condition affecting the older patient with a peak incidence in the sixth decade, the majority should be treated surgically. With few exceptions the operation can be safely accomplished through a cervical approach, only a small minority (approximately 2%) needing a combined cervical/mediastinal procedure. The surgical steps for the routine case are described and also various technical maneuvers required to facilitate delivery and excision of the difficult large goiter. How to cite this article Wheeler MH. The Surgical Management of Retrosternal (Intrathoracic) Goiter. World J Endoc Surg 2013;5(1):28-30.
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