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Updated: Aug 10, 2026
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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
[Video-assisted hemithyroidectomy: surgical technique and early results]
M K Walz1, S Lederbogen, J C Limmer
1Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte. martin.walz@uni-essen.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|October 12, 2001
Summary
Videoscopically assisted hemithyroidectomy is a feasible minimally invasive thyroid surgery option for selected patients. This technique, using a small cervical incision, showed no complications in a prospective study.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Limited data exists on minimally invasive thyroid surgical techniques.
- Uninodular thyroid disease often requires surgical intervention.
Purpose of the Study:
- To evaluate the feasibility and outcomes of videoscopically assisted hemithyroidectomy.
- To compare operative times with conventional thyroid surgery.
Main Methods:
- Prospective study of 18 patients undergoing videoscopically assisted hemithyroidectomy (11/99-11/00).
- Patients had uninodular thyroid disease and cervical incisions of 15-25 mm.
- Techniques included initial gas insufflation (8 patients) and gasless (10 patients).
Main Results:
- Mean operative time was 96 +/- 23 minutes, longer than the conventional group (n=26).
- No intraoperative or postoperative complications were observed in the study group.
- The procedure was successfully completed in all 18 patients.
Conclusions:
- Videoscopically assisted hemithyroidectomy is a feasible surgical approach.
- This minimally invasive technique can be considered for carefully selected patients with uninodular thyroid disease.
- Further research may explore optimizing operative times for this method.
