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Related Experiment Video

Updated: May 9, 2026

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

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Subxyphoid thyroidectomy: a feasibility study.

Ahmed Sharata1, Shaghayegh Aliabadi-Wahle, Neil H Bhayani

  • 11Oregon Clinic, GMIS Division, Portland, OR, USA.

Surgical Innovation
|August 1, 2013
PubMed
Summary
This summary is machine-generated.

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This study demonstrates the feasibility of single-incision endoscopic thyroid lobectomy using the Direct Drive Endoscopic System (DDES). This approach avoids cervical incisions, offering a cosmetically superior alternative for minimally invasive thyroid surgery.

Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Endoscopic Techniques

Background:

  • Growing demand for cosmetic outcomes in thyroid surgery.
  • Need for alternatives to cervical incisions.
  • Development of novel endoscopic platforms.

Purpose of the Study:

  • To evaluate the feasibility of the Direct Drive Endoscopic System (DDES) for single-incision minimally invasive thyroid lobectomy.
  • To assess the DDES platform's ability to perform thyroid surgery without robotic assistance.
  • To determine if the DDES platform can achieve a cosmetically favorable outcome by avoiding cervical scars.

Main Methods:

  • A single-cadaver feasibility study utilizing a 2.2-cm subxyphoid incision.
  • Introduction of the DDES platform with a flexible endoscope and articulating instruments.
Keywords:
SILS/single site surgeryendocrine surgeryflexible endoscopyimage-guided surgerythyroid surgery

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Last Updated: May 9, 2026

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  • Creation of a subcutaneous tunnel for dissection and thyroid lobectomy.
  • Maintenance of critical surgical steps with additional retraction via a Veress needle.

    • Main Results:

    • Successful completion of thyroid lobectomy in 2.5 hours.
    • Safe and adequate subcutaneous tunnel accommodating the DDES platform.
    • Sufficient visualization, ergonomics, articulation, and instrument strength.
    • Lobectomy performed using graspers, scissors, and electrocautery.

    Conclusions:

    • Subxyphoid endoscopic thyroidectomy is technically feasible.
    • This approach avoids cervical scars and the challenges of transaxillary procedures.
    • Technological advancements in flexible endoscopy promise improved patient outcomes and aesthetics.