Tracheal Injury during Endoscopic Transoral Vestibular Approach Thyroidectomy: A Case Report

Authors

  • Zhu Yuhang Department of Anesthesiology, Affiliated Hospital of Zunyi Medical University, Zuiyi, Guizhou China
  • Li Tingting Institute of Neurological Disease, Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China
  • Xiong Liulin Department of Anesthesiology, Affiliated Hospital of Zunyi Medical University, Zuiyi, Guizhou China
  • Li Tao Lang Department of Thyroid and Breast Surgery, Affiliated Hospital of Zunyi Medical University, Zuiyi, Guizhou, China
  • Zhu Zhaoqiong Department of Anesthesiology, Affiliated Hospital of Zunyi Medical University, Zuiyi, Guizhou China

DOI:

https://doi.org/10.1532/hsf.3253

Keywords:

oral vestibular approach, endoscope, thyroidectomy, airway crisis

Abstract

This report describes the intraoperative course of endoscopic thyroidectomy by oral vestibular approach in a female patient. This operation is new, and its perioperative management is not yet mature. In this case, the surgery resulted in trachea injury that could not be detected easily. As a result, the patient suddenly developed acute dyspnea and circulatory disorder. This procedure requires caution in surgical execution and anesthesia management.

References

Camenzuli C, Schembri Wismayer P, Calleja Agius J. Transoral endoscopic thyroidectomy: A systematic review of the practice so far. JSLS 2018;22:e2018.00026

Chen X, Zhai W, Yu Z, Geng J, Li M. Determining correct tracheal tube insertion depth by measuring distance between endotracheal tube cuff and vocal cords by ultrasound in Chinese adults: A prospective case-control study. BMJ Open 2018;8:e023374.

Hou W, Zhong J, Pan B, et al. Paradoxical carbon dioxide embolism during laparoscopic surgery without intracardiac right-to-left shunt: Two case reports and a brief review of the literature. J Int Med Res 2020;48:0300060520933816.

Li Y, Zhang E, Yuan H. Cerebral carbon dioxide embolism after kidney cancer laparoscopic surgery with full neurological recovery: A case report. Medicine 2020;99:e20986.

Ngo D, Tran T, Ngo Q, Van Le Q. Transoral endoscopic thyroidectomy via vestibular approach with 4 trocars: A new technique. Ear Nose Throat J 2020:0145561320943358.

Rubino F, Pamoukian VN, Zhu JF, Deutsch H, Inabnet WB, Gagner M. Endoscopic endocrine neck surgery with carbon dioxide insufflation: The effect on intracranial pressure in a large animal model. Surgery 2000;128:1035-1042.

Wang L, Yang L, Yang J, Shan S. Effects of permissive hypercapnia on laparoscopic surgery for rectal carcinoma. Gastroenterol Res Pract 2019;2019:3903451.

Published

2020-11-24

How to Cite

Zhu, zhaoqiong, Tingting, L., Liulin, X., Lang, L. T., & Zhaoqiong, Z. (2020). Tracheal Injury during Endoscopic Transoral Vestibular Approach Thyroidectomy: A Case Report. The Heart Surgery Forum, 23(6), E880-E882. https://doi.org/10.1532/hsf.3253

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Article