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 trachea after 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