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Updated: Jul 10, 2025

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Preliminary report on a novel technique for endoscopic transaxillary thyroidectomy: a case-control study.

Yang Liu¹, Jiazhong Wang, Shuo Chen

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

International Journal of Surgery (London, England)

|November 20, 2023

Summary

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A novel transaxillary endoscopic thyroidectomy offers a feasible and safe alternative. This improved technique aims to reduce scar size and flap creation compared to gasless transaxillary endoscopic thyroidectomy (GTET).

Area of Science:

Endocrinology
Surgical Oncology
Minimally Invasive Surgery

Background:

Gasless transaxillary endoscopic thyroidectomy (GTET) is popular but requires a long axillary incision.
A novel transaxillary approach aims to reduce scar length and flap creation.
This study evaluates a modified GTET technique for improved cosmetic outcomes.

Purpose of the Study:

To assess the feasibility and safety of a novel transaxillary thyroidectomy.
To compare the novel technique with open and standard GTET procedures.
To evaluate scar size and flap creation in the novel endoscopic approach.

Main Methods:

A comparative study involving 116 patients undergoing the novel transaxillary procedure, open thyroidectomy, or GTET.
Analysis of patient demographics, surgical outcomes, and complication rates.

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Assessment of operative time, blood loss, drainage, pain scores, and hospital stay.

Main Results:

The novel procedure had a longer operative time than open surgery but shorter than GTET.
Intraoperative blood loss was comparable across all groups; however, drainage volume was higher in the novel group.
Pain scores were lower in the novel procedure compared to GTET, with no significant difference versus open surgery. Complication rates were similar across groups.

Conclusions:

The novel transaxillary thyroidectomy is a feasible and safe endoscopic alternative.
This technique offers potential benefits in reducing scar size and flap area.
Further research may establish this as a preferred endoscopic transaxillary method.