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Updated: Oct 7, 2025

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Endoscopic Lateral Neck Dissection: A New Frontier in Endoscopic Thyroid Surgery.

Zeyu Zhang1, Botao Sun1, Hui Ouyang1

  • 1Department of Thyroid Surgery, Xiangya Hospital, Central South University, Changsha, China.

Frontiers in Endocrinology
|January 10, 2022
PubMed
Summary

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Endoscopic lateral neck dissection (LND) offers a safe and feasible approach for thyroid surgery, improving cosmetic outcomes. Further research is needed to establish formal indications and confirm long-term oncological safety.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Head and Neck Surgery

Background:

  • Traditional lateral neck dissection (LND) for thyroid surgery often requires long incisions, leading to cosmetic concerns.
  • Technological advancements enable endoscopic LND, minimizing cervical incisions and allowing access to various remote sites.
  • Endoscopic approaches aim to improve cosmetic outcomes while maintaining surgical effectiveness.

Purpose of the Study:

  • To review the current knowledge on endoscopic lateral neck dissection (LND) in thyroid surgery.
  • To discuss the surgical procedures, indications, contraindications, complications, outcomes, and technical aspects of endoscopic LND.
  • To evaluate the feasibility, safety, and cosmetic benefits of various endoscopic and robotic LND techniques.

Main Methods:

Keywords:
cosmetic outcomeendoscopic thyroidectomylateral neck dissectionquality of liferobotic thyroidectomy

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  • A comprehensive literature review was conducted using PubMed.
  • Search terms included "lateral neck dissection", "thyroid", and "endoscopy OR endoscopic OR endoscope OR robotic".
  • The review focused on robotic LND, totally endoscopic LND, and endoscope-assisted LND.

Main Results:

  • Endoscopic LND is a feasible and safe technique for selected neck levels, demonstrating good cosmetic results and acceptable complication rates.
  • The review covers surgical procedures, indications, contraindications, outcomes, and technical advantages/limitations of endoscopic LND.
  • Different endoscopic and robotic LND variations were discussed.

Conclusions:

  • Endoscopic LND is a safe and feasible technique with positive cosmetic outcomes.
  • Strict patient selection criteria are recommended for expanding endoscopic LND use.
  • Further multicenter studies are required to confirm long-term oncological safety, feasibility, and impact on quality of life (QoL).