Giant multinodular goiter for 24 years; hidden in a village in Western Nepal

Sigdel, Brihaspati; Neupane, Bhima; Pokhrel, Amrit; Nepali, Prakash

doi:10.1002/ccr3.6041

“…At present, surgery is still the most important treatment for giant goiter. Huge thyroid tumors are prone to serious postoperative complications such as large blood vessel injury, parathyroid gland injury, superior laryngeal and recurrent nerve injury, and postoperative tracheal collapse [8,9]. The tumor itself is easy to adhere to adjacent tissues and organs, which makes the operation more difficult, resulting in greater surgical damage to normal thyroid tissues [10].…”

Section: Discussionmentioning

confidence: 99%

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

Zhang¹

2023

SCSOAJ

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Background and Objectives: 3D visualization technology provides a more intuitive visual virtual reality surgical presentation for preoperative simulation planning, inhand visualization operation and accurate postoperative assessment in surgical procedures, but there is a lack of evidence to support whether this technology is more advantageous in preoperative planning of giant goiter. The aim of this study was to investigate the value of 3D visualization technology in the preoperative planning of giant goiter. Methods:The clinical data of eight patients with giant goiter admitted to the First People's Hospital of Anhui University of Technology for general surgery from October 2020 to August 2022 were retrospectively analyzed. The image data were imported into 3D visualization software (3D Slicer software) in DICOM format for 3D reconstruction to analyze the 3D positional relationship between the giant thyroid nodules and the surrounding tissues and organs, to perform preoperative simulation operations, and to develop precise surgical pathways.Results: All patients were operated according to the optimal plan selected by the simulation operation, and the actual surgical procedure conformed to the preoperative simulation plan 100%, and all of them successfully completed the total resection of giant thyroid nodules without any perioperative death and no new symptoms appeared after the operation. Conclusion:The use of 3D visualization technology in the preoperative planning of giant goiter can accurately obtain 3D anatomical information of the lesion and its adjacent tissues, select the optimal surgical path, and reduce surgical risks, which is of great clinical guidance value in guiding the preoperative precise surgical planning of giant goiter.

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“…A chronic and slowly progressive airway compression is the usual presentation of RG, and this can last many years in areas where iodine deficiency is endemic 23 . A choking sensation exacerbated by the supine position, globus, wheezing, and exercise-induced dyspnea (both mistaken for asthma), or dysphagia are the symptoms most commonly reported by patients, that on the other hand are asymptomatic at presentation in over one-third of cases 5 .…”

Section: Clinical Presentationmentioning

confidence: 99%

A critical update on the management of retrosternal goiter

Miani,

Locatello,

Bergamin-Bracale

et al. 2023

Preprint

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Background: Retrosternal goiters (RGs) pose several challenges to head and neck surgeons because of the intricate anatomical relationships with major vessels and other mediastinal structures. Methods: A scoping review of the last five years in the PubMed database was conducted and a total of 105 articles were discussed, along with methodological issues and future directions in the research on RGs. Results: The surgical excision of RGs may be accomplished by standard transcervical approach in the vast majority of cases, yet the potential need for a transthoracic approach must be always kept in mind. Great expertise in referral centers is required to maintain an acceptable rate of postoperative complications, and a thorough diagnostic work-up is mandatory. Several non-surgical treatments in addition to mini-invasive approaches have been proposed for RGs. Conclusions: RGs require a multidisciplinary thyroid team in order to eventually minimize the risk of complications and avoid extracervical approaches.

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Untitled

2023

SCSOAJ

0

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Background and Objectives: 3D visualization technology provides a more intuitive visual virtual reality surgical presentation for preoperative simulation planning, inhand visualization operation and accurate postoperative assessment in surgical procedures, but there is a lack of evidence to support whether this technology is more advantageous in preoperative planning of giant goiter. The aim of this study was to investigate the value of 3D visualization technology in the preoperative planning of giant goiter. Methods:The clinical data of eight patients with giant goiter admitted to the First People's Hospital of Anhui University of Technology for general surgery from October 2020 to August 2022 were retrospectively analyzed. The image data were imported into 3D visualization software (3D Slicer software) in DICOM format for 3D reconstruction to analyze the 3D positional relationship between the giant thyroid nodules and the surrounding tissues and organs, to perform preoperative simulation operations, and to develop precise surgical pathways.Results: All patients were operated according to the optimal plan selected by the simulation operation, and the actual surgical procedure conformed to the preoperative simulation plan 100%, and all of them successfully completed the total resection of giant thyroid nodules without any perioperative death and no new symptoms appeared after the operation. Conclusion:The use of 3D visualization technology in the preoperative planning of giant goiter can accurately obtain 3D anatomical information of the lesion and its adjacent tissues, select the optimal surgical path, and reduce surgical risks, which is of great clinical guidance value in guiding the preoperative precise surgical planning of giant goiter.

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Giant multinodular goiter for 24 years; hidden in a village in Western Nepal

Abstract: Here, we present the case of a giant multinodular goiter with retrosternal extension in an old lady with dyspnea for 3 months. The patient was treated with microscopic-assisted total thyroidectomy without any postoperative complications.

Cited by 4 publications

References 2 publications

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

Application of 3D Visualization Technology in Preoperative Planning of Giant Goiter

A critical update on the management of retrosternal goiter

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