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Updated: Feb 26, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Gasless trans-axillary robotic thyroidectomy: the technique and evidence
Hassan A Alzahrani1, Khuzema Mohsin1, Daniah Bu Ali1
1Division of Endocrine and Oncologic Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA.
Robot-assisted thyroid surgery offers better vision and novel remote access techniques. Gasless trans-axillary robot-assisted thyroidectomy provides excellent cosmetic results comparable to traditional methods.
Area of Science:
- Minimally Invasive Surgery
- Robotic Surgery
- Endocrinology
Background:
- Robot-assisted surgery enhances visualization and technical capabilities in thyroid procedures.
- Novel remote access techniques are emerging for thyroid resection.
Purpose of the Study:
- To detail the gasless trans-axillary robot-assisted thyroidectomy approach.
- To review recent evidence on this specific remote access technique.
Main Methods:
- Review of current literature on gasless trans-axillary robot-assisted thyroidectomy.
- Analysis of feasibility and outcomes compared to conventional methods.
Main Results:
- Gasless trans-axillary robot-assisted thyroidectomy is a feasible approach.
- This technique offers excellent cosmetic outcomes.
- Outcomes are comparable to conventional thyroidectomy approaches.
Conclusions:
- Robot-assisted thyroid surgery, particularly the gasless trans-axillary approach, is a viable option.
- This method provides significant cosmetic advantages for patients.
- Further evidence supports its use in thyroid resection.
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