ms kusnur karim 45/f, case of papillary thyroid cancer with tracheal invasion and hemoptysis...
TRANSCRIPT
• 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
Positioning
Opening of strap muscles exposing the thyroid
thyroid
Left lobe thyroid
Left rec laryngeal nerve
Inferior parathyroid
Stony hard Rt lobe thyroid
Tumor bed over tracheaafter tumor shaved off
CCA
Thyroid cartilage
Sling to encricle the trachea
Dividing the trachea above the tumor bed
ET tube inserted from the distal cut end of trachea
Divided portion of trachea
Oesophageal bed from where trachea was removed
Upper cut end
Lower cut end
CCA
Taking bite from lower cut end of trachea
Upper cut end
Anastamosing both the proximal and distal cut ends of trachea with ET tube in the lower end
Anastamosing both the proximal and distal cut ends of trachea after removing the ET tube from the distal end
After anastomoses
Tension relaxing sutures
Suture bite to keep the neck in flexed position
Surgical Specimen-anterior view
Surgical Specimen-posterior view
Resected trachea-anterior view
Resected trachea-inner view
growth
• Patient discharged and planned for RAI therapy