OBJECTIVE: To explore the feasibility of cervical approach for @entity5651 in posterior mediastinum. METHOD: According to the mechanism that @entity5651 filed into posterior mediastinum and the dissection of thyroid gland and mediastinum, we designed the following surgery principles (1) From top to bottom. (2) Find out recurrent nerve at the place where it enters larynx, then dissect recurrent nerve as long as possible and protect it carefully, meanwhile, search thyroid vessels along recurrent nerve. (3) To avoid and uncontrollable serious @entity548 in the operation, all normal and aberrant blood vessels must be ligated cautiously, and avoid pulling great vessels in the thoracic part. (4) Separating @entity5 of @entity548 under surgical capsule. Bluntly, it can avoid damage important structure in most occasions. (5) If the @entity5 of @entity548 was difficult to be separated from the surrounding structure, ask thoracic surgeon for cooperation. RESULT: Two operations case were operated under the above guideline successfully, and the operations were performed with satisfactory effect, minimal invasion, rapid recovery and low medical cost. CONCLUSION: Cervical approach for @entity5651 in mediastinum posterior is an ideal method of surgery, but it has following operative indication. (1) imaging date indicate that @entity5 of posterior septum is not connected to the surrounding structure. (2) It is not accompanied with @entity4264 . (3) The size of large @entity259 of posterior septum could be decreased by taking out the center part of @entity5 , and it is suitable for liquidized center tissue especially, then take out the @entity5 from neck. If it is hard to be taken out, you can ask thoracic surgeon for help.

[Discussion about cervical incision of XXXX in mediastinum posterior and its indications].

@entity4264 :: ('MESH:D013479', 'Disease') :: ['superior vena cava syndrome'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity5651 :: ('MESH:D006042', 'Disease') :: ['goiter'] @entity259 :: ('MESH:D013964', 'Disease') :: ['thyroid tumor']
@entity5651 :: (MESH:D006042,Disease) :: ['goiter']
