title: Videoendoscopic surgery combined with a minimal sternotomy for removing a thyroid tumor extending into the mediastinum. A case report.
abstract: We report the case of a 55-year-old man with a giant goiter descending to the mediastinum. Video-endoscopic surgery combined with a minimal sternotomy was performed to remove a thyroid tumor. In the course of our dissection of the subplatysmal space, an endoscopic approach was applied to avoid incisions of the neck. Three trocars were inserted from the anterior chest wall, and carbon dioxide (CO2) was insufflated at a pressure of 5 mmHg to create a working space. This technique improves the cosmesis of thyroidectomies and cervical operations.
authors.affiliation: Department of Thoracic Surgery, Takarazuka Municipal Hospital, 4-5-1 Kohama Takarazuka Hyogo 665-0827, Japan. haz@cb3.so-net.ne.jp
authors.forename: K
authors.initials: K
authors.lastname: Hazama
authors.forename: A
authors.initials: A
authors.lastname: Akashi
authors.forename: Y
authors.initials: Y
authors.lastname: Maehata
mesh_terms: D000236:Adenoma / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D006042:Goiter / Q000601:surgery*; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000601:surgery*; D008875:Middle Aged; D013249:Sternum / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000601:surgery; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000379:methods*