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Updated: Jun 7, 2025

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Comparison between gas insufflation and gasless techniques for endoscopic transaxillary thyroidectomy.

Li Lin^1,2, Shuxun Chen^1,2, Yizhuo Lu^1,2

¹The School of Clinical Medicine, Fujian Medical University, Fuzhou, Fujian, China.

Frontiers in Endocrinology

|November 15, 2024

Summary

The insufflation endoscopic thyroidectomy technique offers better clinical outcomes than the gasless method, featuring shorter operation times and hospital stays. This minimally invasive approach improves patient recovery and satisfaction.

Keywords:

endoscopic gas insufflation gasless remote approach thyroid surgery thyroid tumor thyroidectomy transaxillary

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Area of Science:

Endocrinology
Minimally Invasive Surgery
Surgical Oncology

Background:

Endoscopic thyroidectomy offers a minimally invasive alternative to open surgery.
The axillary approach provides a cosmetic advantage by concealing incisions.
Comparing insufflation and gasless methods is crucial for optimizing outcomes.

Purpose of the Study:

To compare the clinical outcomes and prognosis of endoscopic thyroidectomy using the axillary approach with insufflation versus gasless methods.
To evaluate surgical efficiency, patient recovery, and complication rates between the two techniques.

Main Methods:

Retrospective analysis of 73 patients undergoing endoscopic thyroidectomy (June 2022 - October 2023).
Patients were divided into insufflation (n=48) and gasless (n=25) groups.
Key outcome measures included surgical time, blood loss, drainage, tube removal, hospital stay, complications, pain, and incision satisfaction.

Main Results:

The insufflation group demonstrated significantly shorter surgery duration, reduced drainage volume, earlier tube removal, and shorter hospital stays (P < 0.05).
Incision satisfaction was significantly higher in the insufflation group (P < 0.05).
No significant differences were found in blood loss, postoperative complications, or pain scores on day 7.

Conclusions:

Endoscopic thyroidectomy with insufflation via the axillary approach is superior to the gasless method.
The insufflation technique leads to improved surgical efficiency and faster patient recovery.
Both methods provide comparable results regarding postoperative pain and cosmetic satisfaction.