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Related Experiment Video

Updated: Nov 13, 2025

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

[Transaxillary minimally invasive Zenker's diverticulectomy].

F P Vetshev¹, A T Tskhovrebov¹, A L Shestakov¹

¹Petrovsky National Research Center of Surgery, Moscow, Russia.

|March 12, 2021

Summary

Transaxillary gas-free surgery offers an effective minimally invasive option for Zenker's diverticulectomy. This approach provides excellent surgical visualization and a better cosmetic outcome for patients.

Keywords:

Zenker’s diverticulum diverticulectomy esophagus minimally invasive surgery transaxillary approach

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Area of Science:

Surgical Innovation
Gastroenterology
Minimally Invasive Surgery

Background:

Zenker's diverticulum is a condition requiring surgical intervention.
Traditional and endoscopic diverticulectomy have limitations.
Minimally invasive techniques are increasingly explored for improved patient outcomes.

Observation:

A case study of a 64-year-old patient with a large Zenker's diverticulum (6 cm) is presented.
Transaxillary gas-free minimally invasive diverticulectomy was successfully performed using an endoscopic linear stapler.
The procedure had a surgery time of 137 minutes with no postoperative complications.

Findings:

The transaxillary gas-free approach demonstrated effectiveness and feasibility.
Postoperative recovery was rapid, with no anastomotic leakage or recurrent laryngeal nerve injury.
The patient was discharged on postoperative day 7.

Implications:

This minimally invasive technique offers advantages such as clear surgical field visualization, precise manipulation, and improved cosmesis.
It may serve as a viable alternative to traditional and endoscopic diverticulectomy for select patients.
Further prospective studies and experience accumulation are necessary to validate this approach.