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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Endoscopic total thyroidectomy using a unilateral transaxillary approach: A case report.

Yang Liu¹, Jiazhong Wang¹, Shuo Chen¹

¹Department of General Surgery, Xi'an Jiaotong University Second Affiliated Hospital, Xi'an, China.

The Journal of International Medical Research

|March 14, 2023

Summary

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Endoscopic transaxillary thyroidectomy offers a minimally invasive option for total thyroid removal. This technique reduces scarring and improves cosmetic outcomes compared to traditional methods.

Area of Science:

Surgical Innovation
Minimally Invasive Surgery
Endoscopic Procedures

Background:

Endoscopic transaxillary thyroidectomy is a remote-access surgical technique.
The conventional approach often requires a large incision and is limited to unilateral procedures.
Accessing contralateral thyroid tissue can be challenging with existing endoscopic methods.

Observation:

A novel endoscopic transaxillary approach was utilized for total thyroidectomy in a young woman.
The procedure involved reducing the standard incision to three smaller holes, facilitating bilateral access.
Clinical success was confirmed through radioactive iodine uptake scans and thyroglobulin level monitoring.

Findings:

The modified endoscopic transaxillary thyroidectomy successfully achieved complete thyroid removal.

Keywords:

Endoscopy total thyroidectomy transaxillary approach unilateral

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The technique resulted in significantly reduced scarring compared to conventional open surgery.

Post-operative follow-up confirmed the clinical efficacy of the procedure.

Implications:

This modified endoscopic approach demonstrates potential for improved cosmetic results in thyroid surgery.
Further research is warranted to refine and validate this technique for broader clinical application.
The study highlights the feasibility of total thyroidectomy using a less invasive endoscopic transaxillary route.