Gasless transaxillary endoscopic thyroidectomy for unilateral low-risk thyroid cancer: Li's six-step method

Area of Science:

• Endocrine Surgery
• Minimally Invasive Oncology
• Surgical Technique Innovation

Background:

• Gasless transaxillary endoscopic thyroidectomy (GTET) has advanced significantly over the past decade.
• GTET is recognized for its therapeutic effectiveness, aesthetic advantages, and safety in thyroid cancer treatment.
• A detailed description of GTET surgical steps for unilateral low-risk thyroid cancer is lacking.

Purpose of the Study:

• To detail the surgical procedure of GTET for unilateral low-risk thyroid cancer.
• To introduce Li's six-step method for standardized GTET.
• To promote the safe and widespread application of GTET in early thyroid cancer treatment.

Main Methods:

• Literature review and clinical experience compilation.
• Detailed description of Li's six-step surgical approach for GTET.
• Emphasis on anatomical structure identification and protection during dissection.

Main Results:

• Li's six-step method simplifies the GTET procedure for unilateral low-risk thyroid cancer.
• The technique involves systematic dissection of lymph nodes, tumor resection, and critical structure protection.
• The approach aligns with principles of radical tumor treatment.

Conclusions:

• Li's six-step method offers a standardized, safe, and effective approach for GTET in early thyroid cancer.
• This technique facilitates the learning curve for surgeons performing GTET.
• The method aims to enhance the application of GTET for unilateral low-risk thyroid cancer.