General thoracic and cardiovascular surgery cases · 2023
Successful excision of a giant cervical mediastinal goiter by cervical collar incision and a thoracoscopic approach: a case report.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Morimoto Junichi, Yamanaka Takahiro, Yusa Jotaro, Ochi Takahiro, Kaiho Taisuke, Ohashi Kota, Shiina Yuki, Sata Yuki, Toyoda Takahide, Hata Atsushi, Yamamoto Takayoshi, Sakairi Yuichi, Wada Hironobu, Suzuki Hidemi, Nakajima Takahiro, Yoshino Ichiro
Аннотация
BACKGROUND: Giant cervicomediastinal goiter extending to the bifurcation of the trachea mostly requires median sternotomy in addition to a cervical collar incision for resection. Sternotomy provides a good operative field, although it is one of the most invasive thoracic approaches. We herein report a case of giant cervicomediastinal goiter resected by a less-invasive and highly effective method with a thoracoscopic and cervical approach.
CASE PRESENTATION: A 71-year-old Japanese woman with giant cervicomediastinal goiter extending to the bifurcation of the trachea was introduced and admitted to our hospital with dyspnea. Chest computed tomography showed tumor-induced airway narrowing due to the giant goiter of the right side of the thyroid lobe. We safely performed resection of the giant goiter through a cervical collar incision and thoracoscopic approach, and this combined approach contributed to the early discharge of the patient from the hospital.
CONCLUSION: A combined approach of cervical collar incision and thoracoscopy is useful for resection of giant goiter.
CASE PRESENTATION: A 71-year-old Japanese woman with giant cervicomediastinal goiter extending to the bifurcation of the trachea was introduced and admitted to our hospital with dyspnea. Chest computed tomography showed tumor-induced airway narrowing due to the giant goiter of the right side of the thyroid lobe. We safely performed resection of the giant goiter through a cervical collar incision and thoracoscopic approach, and this combined approach contributed to the early discharge of the patient from the hospital.
CONCLUSION: A combined approach of cervical collar incision and thoracoscopy is useful for resection of giant goiter.