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Related Experiment Video

Updated: May 23, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Robotic thyroidectomy: an initial experience with the gasless transaxillary approach.

Pier Cristoforo Giulianotti1, Pietro Addeo, Nicolas Christian Buchs

  • 1Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois 60612, USA. piercg@uic.edu

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|April 12, 2012
PubMed
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Robotic thyroid surgery using a gasless transaxillary approach is safe and effective for select patients. This minimally invasive technique offers excellent cosmetic results and a shorter hospital stay compared to traditional methods.

Area of Science:

  • Minimally Invasive Surgery
  • Surgical Oncology
  • Endocrine Surgery

Background:

  • Robotic surgery is a promising advancement in thyroidectomy.
  • The gasless transaxillary approach offers a novel method for robotic thyroid surgery.

Purpose of the Study:

  • To report the initial outcomes of robotic thyroidectomy using a gasless transaxillary approach.
  • To evaluate the safety and efficacy of this technique in the first year of its application.

Main Methods:

  • Ten patients underwent robotic thyroidectomy via a gasless transaxillary approach using the da Vinci Surgical System.
  • Procedures included total and partial thyroidectomies for nodules and goiters.

Main Results:

  • All procedures were successfully completed robotically, with one conversion.

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  • Mean operative time was 177.4 minutes with minimal blood loss.
  • Pathological diagnoses included papillary carcinoma, colloid nodules, and multinodular goiter.
  • Conclusions:

    • Gasless transaxillary robotic thyroidectomy is a safe and viable option for selected benign and malignant thyroid conditions.
    • This approach provides superior cosmetic outcomes and a reduced hospital stay.
    • It represents a promising scarless, minimally invasive surgical option for thyroid disease.