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Ms Kusnur Karim 45/F, case of Papillary thyroid cancer with Tracheal invasion and hemoptysis

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.

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Ms Kusnur Karim 45/F, case of Papillary thyroid cancer with Tracheal invasion and hemoptysis

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  1. Ms KusnurKarim 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

  2. Positioning

  3. Opening of strap muscles exposing the thyroid thyroid

  4. Left lobe thyroid Inferior parathyroid Left rec laryngeal nerve

  5. Stony hard Rt lobe thyroid

  6. Thyroid cartilage CCA Tumor bed over trachea after tumor shaved off

  7. Sling to encricle the trachea

  8. Dividing the trachea above the tumor bed

  9. Divided portion of trachea ET tube inserted from the distal cut end of trachea

  10. Lower cut end Upper cut end Oesophageal bed from where trachea was removed

  11. CCA Taking bite from lower cut end of trachea Upper cut end

  12. Anastamosing both the proximal and distal cut ends of trachea with ET tube in the lower end

  13. Anastamosing both the proximal and distal cut ends of trachea after removing the ET tube from the distal end

  14. Tension relaxing sutures After anastomoses

  15. Suture bite to keep the neck in flexed position

  16. Surgical Specimen-anterior view

  17. Surgical Specimen-posterior view

  18. Resected trachea-anterior view

  19. Resected trachea-inner view growth

  20. Patient discharged and planned for RAI therapy

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