Related Experiment Video
Updated: Aug 20, 2026
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
[Endoscopic thyroid gland surgery without carbon dioxide neck insufflation]
Xiao-ming Huang1, Yi-qing Zheng, Geng Xu
1Department of Otorhinolaryngology, Second Affiliated Hospital of Sun Yat-sen University, Guangzhou 510120, China. xiaomingh@hotmail.com
Objective:
To evaluate endoscopic thyroid gland surgery without carbon dioxide neck insufflation.
Methods:
Sixteen patients with thyroid gland benign tumor, aged from 23-62 years, were selected and treated with endoscopic surgery. Eight cases received whole thyroid lobectomy and the other eight cases received partial thyroid lobectomy, the procedure was through a wall method or a single 2.0-3.0 cm horizontal skin incision. Among the 16 cases, 6 were thyroid adenoma and 10 were nodular goiter.
Results:
All patients received endoscopic surgery, 2 cases with sub-clavicle approach and 14 cases with a single 2.0-3.0 cm horizontal skin incision approach. The recurrent laryngeal nerve and parathyroid glands were easily identified and preserved during operation, the operating time lasted from 1.1 hours to 4.0 hours, no complication occurred, the postoperative cosmetic outcome was excellent.
Conclusions:
The results indicated that gasless technique is feasible and safe, so it suggested that the video-assisted thyroid surgery without carbon dioxide neck insufflation could be an alternative for thyroid gland surgery.
