Clinical Effect of Cervical Incision Combined with Partial Clavicular Resection Approach in Treatment of Substernal Goiter

ZHOU Zhenyu

doi:10.3969/j.issn.1672-7185.2018.11.025

Abstract：Objective To investigate the effect of cervical incision combined with partial clavicular resection approach in treatment of substernal goiter. Methods The clinical data of 44 patients with substernal goiter from January 2006 to January 2017 were retrospectively analyzed, including 33 patients with substernal goiter received sternotomy approach (sternotomy group) from January 2006 to December 2013, and 11 patients with substernal goiter received partial clavicular resection approach (partial clavicular resection group) from January 2014 to January 2017. Operation time, intraoperative blood loss, and the incidence rate of complications were compared between two groups. Results The operation time was (230±35 )minutes in the sternotomy group and (160±25) minutes in the partial clavicular resection group, existing significant difference between the two groups(t=3.60, P<0.05). The intraoperative blood loss was (590±60)mL in the sternotomy group, and significantly more than (315±40)mL in the partial clavicular resection group (t=4.43, P<0.05). The incidence rate of recurrent laryngeal nerve injury and thoracic duct injury in the sternotomy group was 3.0%, and the rate of pulmonary infection was 36.4%. Compared with the sternotomy group, there was no complication occurred in the partial clavicular resection group (χ2=5.03, P<0.05). Conclusion The cervical incision combined with partial clavicular resection for substernal goiter has the characteristics of simple operation, short operation time, less intraoperative blood loss and no complication, which is worth popularizing.