Download - Ms Kusnur Karim 45/F, case of Papillary thyroid cancer with Tracheal invasion and hemoptysis
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• Ms Kusnur Karim 45/F, case of Papillary thyroid cancer with Tracheal invasion and hemoptysis
• Bronchoscopy: growth protruding below the vocal cords
• Underwent Total Thyroidectomy + resection of tracheal rings along with the growth and end-to-end anastomoses of trachea
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Positioning
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Opening of strap muscles exposing the thyroid
thyroid
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Left lobe thyroid
Left rec laryngeal nerve
Inferior parathyroid
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Stony hard Rt lobe thyroid
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Tumor bed over tracheaafter tumor shaved off
CCA
Thyroid cartilage
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Sling to encricle the trachea
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Dividing the trachea above the tumor bed
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ET tube inserted from the distal cut end of trachea
Divided portion of trachea
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Oesophageal bed from where trachea was removed
Upper cut end
Lower cut end
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CCA
Taking bite from lower cut end of trachea
Upper cut end
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Anastamosing both the proximal and distal cut ends of trachea with ET tube in the lower end
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Anastamosing both the proximal and distal cut ends of trachea after removing the ET tube from the distal end
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After anastomoses
Tension relaxing sutures
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Suture bite to keep the neck in flexed position
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Surgical Specimen-anterior view
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Surgical Specimen-posterior view
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Resected trachea-anterior view
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Resected trachea-inner view
growth
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• Patient discharged and planned for RAI therapy