Related Experiment Video
Updated: Jul 12, 2026
07:45
"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach
Published on: November 28, 2025
[Total videoendoscopic thyroid resection by the axillobilateral breast approach. Operative method and first results]
1Klinik für Allgemein- und Viszeralchirurgie, Zentrum für Minimal Invasive Chirurgie, HELIOS Klinikum Berlin-Buch, Hobrechtsfelder Chaussee 100, 13125, Berlin. mstrik@berlin.helios-kliniken.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 7, 2007
Summary
The axillobilateral breast approach (ABBA) offers scarless thyroid resection. This minimally invasive technique is safe and feasible for selected patients, prioritizing cosmetic outcomes.
Area of Science:
- Surgical Oncology
- Endocrine Surgery
- Minimally Invasive Surgery
Context:
- Thyroidectomy traditionally leaves neck scars.
- The axillobilateral breast approach (ABBA) aims to conceal surgical incisions.
- Evaluating ABBA for thyroid resection in a clinical series.
Purpose:
- To assess the feasibility and safety of the ABBA technique for thyroid resection.
- To evaluate the cosmetic outcomes of thyroid surgery performed via the ABBA approach.
- To determine the efficacy of ABBA compared to conventional thyroidectomy methods.
Summary:
- Twenty-six female patients underwent thyroid resection using the ABBA technique.
- Mean operative times were 111 minutes (unilateral) and 187 minutes (bilateral).
- No conversions to open surgery were required; transient complications included one recurrent laryngeal nerve palsy and one brachial plexus paresis.
Impact:
- The ABBA technique provides a viable, safe option for thyroid resection with excellent cosmetic results.
- This approach minimizes visible scarring, enhancing patient satisfaction.
- ABBA demonstrates feasibility in selected patients requiring thyroid surgery.
