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We herein report a surgically resected case of a large intrathoracic goiter\u2010compressed trachea extending from the right lower pole of the thyroid gland to the carina. We secured the airway by intubation preparing for extracorporeal membrane oxygenation and successfully performed surgical complete resection using a robot\u2010assisted thoracoscopic and cervical approach. Intrathoracic goiter is a tumor with abundant neovascularity, and the right vagus nerve is displaced in the thoracic cavity, but a robot\u2010assisted thoracoscopic approach using CO<jats:sub>2<\/jats:sub> insufflation improved visualization at the narrow apex area of the thoracic cavity. Robot\u2010assisted thoracoscopic surgery is a useful surgical procedure enabling safe and minimally invasive surgery without recurrent laryngeal nerve palsy or tracheal injury for intrathoracic giant goiters extending into the thoracic cavity.<\/jats:p>","DOI":"10.1111\/1759-7714.14470","type":"journal-article","created":{"date-parts":[[2022,5,14]],"date-time":"2022-05-14T06:44:20Z","timestamp":1652510660000},"page":"1874-1877","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A large intrathoracic goiter with tracheal stenosis: Complete resection using a robot\u2010assisted thoracoscopic approach"],"prefix":"10.1111","volume":"13","author":[{"given":"Ryuji","family":"Nakamura","sequence":"first","affiliation":[{"name":"Department of Oncology, Immunology and Surgery Nagoya City University Graduate School of Medical Sciences  Nagoya 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