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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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Related Experiment Video

Updated: Jun 6, 2025

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

883

Progress in gasless endoscopic thyroidectomy.

Xianbin Cheng1, Xiangfu Ding1, Sijia Wang2

  • 1Department of Thyroid Surgery, The Second Hospital of Jilin University, Changchun, China.

Frontiers in Endocrinology
|November 26, 2024
PubMed
Summary

Gasless endoscopic thyroidectomy avoids carbon dioxide insufflation, reducing surgical risks. This study reviews techniques, comparing their pros and cons for optimal clinical application.

Keywords:
advantageapproachendoscopicgaslessthyroidectomy

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Area of Science:

  • Surgical Innovation
  • Endoscopic Procedures
  • Thyroid Surgery

Background:

  • Traditional endoscopic thyroidectomy often requires carbon dioxide insufflation.
  • Carbon dioxide insufflation can lead to potential complications.
  • Gasless techniques offer an alternative approach to thyroidectomy.

Purpose of the Study:

  • To synthesize current gasless endoscopic thyroidectomy methodologies.
  • To evaluate the advantages and disadvantages of each technique.
  • To provide insights for selecting the optimal gasless approach.

Main Methods:

  • Literature review of gasless endoscopic thyroidectomy techniques.
  • Comparative analysis of surgical approaches.
  • Evaluation of reported outcomes and complications.

Main Results:

  • Gasless techniques maintain neck functionality and minimize scarring.
  • Enhanced surgical field visibility is a key benefit.
  • Various gasless methods exist, each with specific trade-offs.

Conclusions:

  • Gasless endoscopic thyroidectomy offers significant advantages over insufflation methods.
  • Understanding technique-specific benefits and drawbacks is crucial for surgical planning.
  • This review aids surgeons in choosing the most suitable gasless approach.