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Updated: Jul 19, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Thyroid surgery: new approach to dissection and hemostasis.

Gianlorenzo Dionigi¹, Luigi Boni, Francesca Rovera

¹Department of Surgical Sciences; University of Insubria, Varese, Italy.

Surgical Technology International

|October 10, 2006

Summary

Thyroid surgery focuses on nerve protection, parathyroid preservation, and blood control. Recent advancements include minimally invasive techniques and intraoperative neuromonitoring for improved patient outcomes.

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Area of Science:

Surgery
Endocrinology
Surgical Innovation

Background:

Key objectives in thyroidectomy include preventing recurrent laryngeal nerve (RLN) injury, preserving parathyroid glands, ensuring effective hemostasis, and achieving excellent cosmetic results.
The past decade has seen significant advancements in thyroid surgery, incorporating mini-invasive approaches, regional anesthesia, and intraoperative neuromonitoring.

Purpose of the Study:

To review medical literature on thyroid surgery techniques, focusing on hemostasis and dissection.
To evaluate well-controlled trials published in English since 1990.

Main Methods:

Systematic review of English-language medical literature.
Literature search focused on thyroid surgery techniques, hemostasis, and dissection, with an update in October 2005.

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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

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Published on: September 15, 2023

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

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Main Results:

The review covers improvements in thyroid surgery over the last 10 years.
New technologies and devices for dissection and hemostasis have been introduced.

Conclusions:

Thyroid surgery has evolved with new technologies aimed at improving safety and outcomes.
Effective hemostasis and dissection are crucial for reducing blood loss and maintaining a clear surgical field.