Related Experiment Video
Updated: May 4, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
Transcervical-subxiphoid-VATS "maximal" thymectomy for myasthenia gravis
Marcin Zielinski1, Jaroslaw Kuzdzal, Tomasz Nabialek
1Department of Thoracic Surgery, Pulmonary Hospital, Zakopane, ul. Gładkie 1, 34-500 Zakopane, Poland.
Abstract:
A maximally extended thymectomy is performed through four incisions: a transverse 5-8 cm incision in the neck, a 4-6 cm subxiphoid incision and two 1 cm incisions for videothoracoscopic ports. The cervical part of the procedure is performed with an open technique, the intrathoracic part of the procedure is performed with the videothoracoscopy assisted (VATS) technique. The whole thymus with the surrounding fatty tissue containing possible ectopic foci of the thymic tissue is removed. The need for sternotomy is avoided while the completeness of the operation is retained.
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