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Updated: May 20, 2026
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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Video-assisted neck surgery for thyroid tumor: gasless lateral approach.
N Ishikawa1, M Kawaguchi, A Matsunoki
1Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan. iskwnrhk@gmail.com
Asian Journal of Endoscopic Surgery
|July 11, 2012
Summary
Video-assisted thyroidectomy using a gasless lateral approach is a safe and effective technique for removing thyroid tumors. This minimally invasive method provides adequate visualization and resulted in an uneventful recovery for a patient with follicular adenoma.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Thyroid tumors necessitate surgical intervention, with hemithyroidectomy being a common procedure.
- Conventional thyroidectomy can lead to visible scarring and potential complications.
- Minimally invasive techniques are being explored to improve patient outcomes and cosmesis.
Observation:
- A 27-year-old female patient presented with a thyroid tumor requiring a right hemithyroidectomy.
- A novel lateral gasless approach for video-assisted thyroidectomy was employed.
- The procedure involved dissecting a subplatysmal skin flap and utilizing ultrasonic devices.
Findings:
- Pathological examination confirmed the thyroid tumor to be a benign follicular adenoma.
- The video-assisted hemithyroidectomy via the gasless lateral approach provided an adequate operative field.
- The patient experienced an uneventful postoperative course.
Implications:
- The lateral gasless approach for video-assisted thyroidectomy is a safe and effective alternative to conventional methods.
- This technique may offer improved visualization and potentially reduce surgical morbidity.
- Further studies are warranted to evaluate the long-term benefits and broader applicability of this approach.
