Resection of mediastinal goiter extending to the carina with use of artificial pneumothorax, two-lung ventilation, and thoracoscopy, with the patient in a prone position

General Thoracic and Cardiovascular Surgery
Satoshi HayashiShunichi Okushiba

Abstract

A 67-year-old woman was presented with a mediastinal tumor extending from the left lobe of the thyroid and passing through the posterior trachea, causing displacement of the esophagus to the left side of the patient and then descending into the right side of the mediastinum to below the carina. Surgery was performed under two-lung ventilation with the patient in a prone position; general anesthesia was performed with a single-lumen tube combined with artificial pneumothorax. In thoracoscopic surgery, we were able to confirm and preserve anatomical structures. After detachment of the tumor at the level of the left and right subclavian arteries, the patient was placed supine, a cervical incision was added, and the tumor was extracted. The tumor was diagnosed as a nonmalignant mediastinal goiter (MG). No such surgical report was found in the literature, and one would be useful for this new approach to MG removal.

References

Jan 29, 2013·International Journal of Surgery·Ali QureishiEmmanouil Zacharakis
Jul 25, 2014·International Surgery·Ali CoskunNazif Erkan
Feb 24, 2016·Annals of Medicine and Surgery·Yin Rui Sheng, Ren Chong Xi
Jan 1, 1991·The Annals of Thoracic Surgery·Mark B Orringer

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