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Updated: Jul 17, 2025

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

HRQOL after endoscopic transaxillary gasless hemithyroidectomy.

Kristijonas Jasaitis¹, Almantas Maleckas¹, Virginija Marcinkevičienė²

¹Department of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania.

Wideochirurgia I Inne Techniki Maloinwazyjne = Videosurgery and Other Miniinvasive Techniques

|September 8, 2023

Summary

Endoscopic transaxillary gasless hemithyroidectomy (TAH) improves health-related quality of life (HRQOL) within six months. Factors like thyroiditis and complications impact postoperative HRQOL outcomes.

Keywords:

endoscopic gasless health-related quality of life hemithyroidectomy thyroidectomy transaxillary

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Area of Science:

Endocrinology
Minimally Invasive Surgery
Quality of Life Research

Background:

Endoscopic transaxillary gasless hemithyroidectomy (TAH) offers cosmetic benefits over open surgery.
Limited data exists on patient health-related quality of life (HRQOL) following TAH.

Purpose of the Study:

To evaluate the health-related quality of life (HRQOL) in patients after undergoing endoscopic transaxillary gasless hemithyroidectomy (TAH).

Main Methods:

Prospective study of 40 patients undergoing TAH.
Collected demographic and clinical data.
Administered Short-Form 36 Health Survey (SF-36) preoperatively and at 1 and 6 months post-surgery.

Main Results:

HRQOL scores in role physical and bodily pain decreased at 1 month post-TAH but returned to baseline by 6 months.
Role emotional scores significantly improved at 6 months post-TAH.
Postoperative HRQOL was influenced by pathological findings, resected lobe size, and complications.

Conclusions:

Patient HRQOL recovers and improves by 6 months after TAH.
Pathological examination results, resected lobe weight/volume, and complications significantly affect postoperative HRQOL.