Related Experiment Video
Updated: Mar 27, 2026
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Subcutaneous dissection area contributes less to endoscopic thyroidectomy-related invasiveness
Wei Zhang1, Qing-Hua Wu2, Zhi-Guo Jiang1
1Department of General Surgery of Changzheng Hospital Affiliated to Second Military Medical University, No. 415 Fengyang road, Shanghai, 200003, China.
Objective:
To clarify the contribution of the subcutaneous area during breast approach endoscopic thyroidectomy (BAET), with regard to invasiveness-related outcomes.
Methods:
Seventy-two patients were randomly assigned to two groups: standard dissection and limited dissection. Postoperative pain and inflammatory response were compared between groups.
Results:
The groups were well matched except for subcutaneous dissection area (137.11 ± 21.10 vs. 83.69 ± 12.10 cm(2), p < 0.0001). No significant difference was found with regard to VAS score and postoperative inflammatory response.
Conclusion:
Our RCT indicated that the subcutaneous area plays a less important role with regard to BAET-related postoperative pain.
