A large intrathoracic goiter with tracheal stenosis: Complete resection using a robot‐assisted thoracoscopic approach. Issue 12 (13th May 2022)

• Record Type: Journal Article
• Authors: Nakamura, Ryuji; Okuda, Katsuhiro; Chiba, Kensuke; Matsui, Takuya; Oda, Risa; Tatematsu, Tsutomu; Yokota, Keisuke; Nakanishi, Ryoichi
• Is Part Of: Thoracic cancer. Volume 13:Issue 12(2022)
• Page Start: 1874
• Page End: 1877
• Publication Date: 2022-05-13
• Subjects: complication -- large intrathoracic goiter -- minimally invasive surgery -- robot‐assisted thoracoscopic surgery -- tracheal stenosis; Chest -- Cancer -- Periodicals; Chest -- Cancer -- Treatment -- Periodicals; Chest -- Surgery -- Periodicals; 616.99494005
• DOI: 10.1111/1759-7714.14470
• Languages: English
• ISSNs: 1759-7706

Abstract

Abstract: Growing intrathoracic goiters may compress surrounding organs and deteriorate the cardiopulmonary function. Treating such cases requires carefully considering how to maintain oxygenation and resect the tumor with minimal invasiveness without complications. We herein report a surgically resected case of a large intrathoracic goiter‐compressed trachea extending from the right lower pole of the thyroid gland to the carina. We secured the airway by intubation preparing for extracorporeal membrane oxygenation and successfully performed surgical complete resection using a robot‐assisted thoracoscopic and cervical approach. Intrathoracic goiter is a tumor with abundant neovascularity, and the right vagus nerve is displaced in the thoracic cavity, but a robot‐assisted thoracoscopic approach using CO2 insufflation improved visualization at the narrow apex area of the thoracic cavity. Robot‐assisted thoracoscopic surgery is a useful surgical procedure enabling safe and minimally invasive surgery without recurrent laryngeal nerve palsy or tracheal injury for intrathoracic giant goiters extending into the thoracic cavity. Abstract : Chest computed tomography shows the trachea stenosed by the goiter (a). Coronal (b) and axial (c) sections show the tumor extending beyond the level of the carina.