Video Assisted Thoracoscopic Thyroidectomy for A Substernal Goiter

  • Wilairat Prasert Department of Surgery, Faculty of Medicine, Thammasat University
  • Boonlawat Homvises Department of Surgery, Faculty of Medicine, Thammasat University
Keywords: Substernal goiter, VATS, Video assisted thoracoscopic surgery


Thoracic approach is helpful for some cases of bulky substernal goiters. This article describes an alternative approach with video assisted thoracoscopic surgery (VATS).
Case: A 51-year-old female with accidental diagnosis of substernal goiter from chest x-ray. Her substernal goiter was successfully removed by a cervical approach in combination with VATS in thoracic part dissection.


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1. Huins CT, Georgalas C, Mehrzad H, Tolley NS. A new classification system for retrosternal goitre based on a systematic review of its complications and management. Int J Surg. 2008;6:71-76.
2. Katlic MR, Wang CA, Grillo HC. Substernal goiter. Ann Thorac Surg. 1985;39:391-399.
3. Pieracci FM, Fahey TJ. Substernal thyroidectomy is associated with increased morbidity and mortality as compared with conventional cervical thyroidectomy. J Am Coll Surg. 2007;205:1-7.
4. de Perrot M, Fadel E, Mercier O, et al. Surgical management of mediastinal goiters: when is a sternotomy required?. Thorac Cardiovasc Surg. 2007;55:39-43.
5. Cohen JP. Substernal goiters and sternotomy. Laryngoscope. 2009;119:683-688.
6. Cheng D, Downey RJ, Kernstine K, et al. Video-assisted thoracic surgery in lung cancer resection: a meta-analysis and systematic review of controlled trials. Innovations. 2007;2:261-292.
7. Whitson BA, Groth SS, Duval SJ, Swanson SJ, Maddaus MA. Surgery for early-stage non-small cell lung cancer: a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg. 2008;86:2008-2016.
8. Gupta P, Lau K, Rizvi I, Rathinam S, Waller D. Video assisted thoracoscopic thyroidectomy for retrosternal goiter. Ann R Coll Surg Engl. 2014;96:606-608.
9. Bhargav PR, Amar V, Mahilvayganan S, Nanganandadevi V. Feasibility of thoracoscopic approach for retrosternal goitre (posterior mediastinal goitre): Personal experiences of 11 cases. J Minim Access Surg. 2016;12:240-244.
Case Report