Uniportal Non-Intubated Thoracoscopic Distal Tracheal Resection and Primary Anastomosis for Adenoid Cystic Carcinoma

Primary tracheal tumors are rare, with adenoid cystic carcinoma being a common subtype with a tendency for submucosal spread (1). Surgical resection with primary anastomosis is the standard treatment. Minimally invasive techniques, including uniportal video-assisted thoracoscopic surgery (VATS) and non-intubated surgery, aim to reduce perioperative morbidity (2). However, their use in complex airway procedures like…