PMC8219883_01
Three-dimensional computed tomography scan reconstruction showing a posterior mediastinal mass, most probably connected with the thyroid by a small tissue bridge and caudally in juxtaposition to the right upper lobe artery.
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F1
An euthyroid, asymptomatic and previously healthy 57-year old male patient was referred due to the incidental finding of a posterior mediastinal mass, flanking the right upper lobe artery (Figure 1). Thoracoscopy revealed the posterior mediastinal goiter (Figure 3, Supplementary Video 1).
Two-team approach surgical scenario setting.
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F2
Three 10 mm trocars were placed by the thoracic surgery team, standing on the right side of the table (Figure 2): a camera port at the seventh intercostal space in the mid-axillary line, and two additional ports at the eighth intercostal space in the posterior axillary line and at the tip of the scapula with CO2 insufflation at 8 mmHg.
(A) Thoracoscopic visualization of the posterior mediastinal goiter. (B) Mobilization of the goiter by gently pushing it through the thoracic inlet. (C) Simultaneous cervical resection of the right thyroid lobe including the retrosternal nodule.
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F3
Thoracoscopy revealed the posterior mediastinal goiter (Figure 3, Supplementary Video 1).
Timeline of preoperative workup, hospitalization and follow-up.
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F4