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Updated: Jun 8, 2025
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Successful excision of a giant cervical mediastinal goiter by cervical collar incision and a thoracoscopic approach:
Junichi Morimoto1, Takahiro Yamanaka2, Jotaro Yusa2
1Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, 260-8670, Japan. morijunmorijun1212@yahoo.co.jp.
Background:
Giant cervicomediastinal goiter extending to the bifurcation of the trachea mostly requires median sternotomy in addition to a cervical collar incision for resection. Sternotomy provides a good operative field, although it is one of the most invasive thoracic approaches. We herein report a case of giant cervicomediastinal goiter resected by a less-invasive and highly effective method with a thoracoscopic and cervical approach.
Case Presentation:
A 71-year-old Japanese woman with giant cervicomediastinal goiter extending to the bifurcation of the trachea was introduced and admitted to our hospital with dyspnea. Chest computed tomography showed tumor-induced airway narrowing due to the giant goiter of the right side of the thyroid lobe. We safely performed resection of the giant goiter through a cervical collar incision and thoracoscopic approach, and this combined approach contributed to the early discharge of the patient from the hospital.
Conclusion:
A combined approach of cervical collar incision and thoracoscopy is useful for resection of giant goiter.
