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Updated: May 8, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Modified use of Kocher's dissector in ligation of the superior thyroid pedicle
M I Syed1, P W Jenkinson, S Denholm
1Department of Otolaryngology, Raigmore Hospital, NHS Highlands, Inverness, Scotland, UK.
Background:
More than a century has passed since Emil Theodor Kocher first described the use of ‘Kocher’s thyroid dissector’ to secure the superior thyroid pedicle.
Method:
Despite the technological advances in thyroid surgery, the dissector remains an extremely useful instrument. This paper describes a modified use of the dissector, and reports on how this facilitates safer and easier surgery.
Results And Conclusion:
Application of this simple, modified technique can improve the safety and efficiency of thyroid surgery, with negligible financial outlay.
