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Updated: May 5, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Alternate incision-site thyroidectomy.

Salah Eldin Mohamed¹, Salem I Noureldine, Emad Kandil

¹Division of Endocrine and Oncological Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.

Current Opinion in Oncology

|November 23, 2013

Summary

Remote-access thyroid surgery offers a safe alternative to traditional methods, avoiding visible neck scars. Minimally invasive techniques are increasingly popular for thyroidectomy, enhancing cosmetic outcomes without compromising patient safety.

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Area of Science:

Surgical Innovation
Endocrine Surgery

Background:

Thyroid surgery has transitioned from high-risk to a safe procedure.
Technological advancements enable remote-access thyroid gland removal, avoiding neck scars.

Purpose of the Study:

To provide an overview of current alternate-site approaches for remote-access thyroid surgery.
To assess the capabilities of these techniques in assisting surgeons.

Main Methods:

Review of described endoscopic approaches for thyroid surgery.
Focus on minimally invasive gasless video-assisted cervical and robotic transaxillary, retroauricular, and axillary breast techniques.

Main Results:

Minimally invasive gasless video-assisted cervical technique is common.

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Published on: May 12, 2023

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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

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"Sun's Seven-Step Technique" for Endoscopic En-Bloc Resection of Thyroid Cancer via the Chest-Breast Approach

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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

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Robotic transaxillary, retroauricular, and axillary breast approaches are gaining popularity for scarless thyroid surgery.

Conclusions:

New surgical techniques are being adopted for thyroidectomy.
Minimally invasive and remote-access methods aim to eliminate neck scars without compromising safety or effectiveness.
Conventional thyroidectomy remains a gold standard with excellent outcomes.