Abstract
A 59-year-old female was referred to our hospital with an abnormal chest shadow. Chest computed tomography showed a tumor surrounded by ground-glass opacity measuring over 3 cm. Fiberoptic bronchoscopy revealed a tracheal tumor below the vocal cords. Cervical magnetic resonance imaging showed a thyroid tumor next to the tracheal tumor. We planned a one-stage operation for the primary tumors of the thyroid, trachea, and lung. First, after general anesthesia with a laryngeal mask airway, the patient underwent right hemithyroidectomy and sleeve resection of the trachea through a collar incision. Then, after intubation of the endotracheal tube from the operative field, we carried out tracheal anastomosis of only the posterior wall. Subsequently, after the oral intubation of a double-lumen tracheal tube by guiding in the operative field, we performed tracheal anastomosis of the residual anterior wall, and total thoracoscopic right upper lobectomy and nodal dissection in the lateral decubitus position. There was no surgical or postoperative complication, and healing of the tracheal anastomosis was satisfactory.
