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Updated: Jul 19, 2026
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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
[Endoscope-assisted thyroidectomy with minimal incision in neck]
Xiao-Jiang Li1, Shi-Wen Zhang, Rui-Mei Sun
1Department of Head and Neck, The Third Affiliated Hospital of Kunming Medical College of Yunnan Province, Kunming 650118, China. xiaojiangle@yahoo.com.cn
Summary
Endoscope-assisted thyroidectomy using minimal neck incisions is a safe and feasible surgical option. This technique offers good cosmetic results, with approach selection based on neoplasm location.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Traditional thyroidectomy often involves larger incisions, potentially leading to visible scarring.
- Advancements in endoscopic technology offer potential for improved cosmetic outcomes in thyroid surgery.
Purpose of the Study:
- To evaluate the feasibility and safety of endoscope-assisted thyroidectomy with minimal neck incisions.
- To assess the cosmetic results and patient outcomes associated with this minimally invasive approach.
Main Methods:
- A retrospective analysis of endoscope-assisted thyroid surgeries performed between August 2003 and August 2005.
- Procedures included various types of thyroidectomies (partial lobectomy, lobectomy, etc.) using supra-sternal notch or submental incisions.
Main Results:
- All 17 endoscope-assisted thyroidectomies were successfully completed without conversion to open surgery.
- Mean incision length was 2.3 cm, with favorable cosmetic outcomes reported in most cases.
- No instances of vocal cord paralysis or hypocalcemia were observed, and hospital stay averaged 4.5 days.
Conclusions:
- Endoscope-assisted thyroidectomy is a safe and effective procedure with excellent cosmetic results.
- The choice of minimal incision approach should be tailored to the specific location of the thyroid neoplasm.
