Related Experiment Video
Updated: Jan 30, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Single Biaxillary Tunneling for Working Space Creation in Bilateral Axillo-Breast Approach (BABA) Thyroidectomy
Chung-Yu Tsai1, Shiuh-Inn Liu1,2, I-Shu Chen1
1Department of Surgery, Division of General Surgery, Kaohsiung Veterans General Hospital, Zuoying, Kaohsiung.
Background:
Endoscopic thyroidectomy using the bilateral axillo-breast approach (BABA) achieves excellent cosmetic results. However, concerns have been raised about the extensive dissection and violation of the breast during working space preparation.
Materials And Methods:
We developed a "single biaxillary tunneling" technique for working space creation in BABA thyroidectomy; this technique was applied in 30 cases.
Results:
Skin bruise was hardly visible, and only minor and small bruises were observed. The whole process of working space creation typically finished within 20 to 30 minutes.
Conclusions:
Limited blunt dissection by a single stroke of biaxillary tunneling is a simple method, which significantly reduces ecchymosis formation and is time-efficient. This method can be used in routine practice and is feasible for beginner surgeons.
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13:35Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
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