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Published byPayton Dury Modified over 10 years ago
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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 trachea after 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
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