Endoscopic thyroidectomy by gasless unilateral axillary approach
ZHENG Chang
HUANG Guo
LIU Guowen
Abstract：Thyroid cancer is one of the most common types of endocrine malignant tumors,and surgery is the main treatment method.Currently,endoscopic technology has been widely adopted in the surgical treatment of thyroid cancer.In particular,the endoscopic thyroidectomy by gasless unilateral axillary approach(ETGUA)has demonstrated excellent clinical efficacy and cosmetic outcomes after more than a decade of development.This surgical approach provides good exposure of the thyroid gland and lateral neck regions,ensuring a clear surgical field and a simple operation process,and has become one of the mainstream choices for endoscopic thyroid surgery.This technique effectively prevents complications such as neck scarring and limited neck mobility that may result from traditional open surgery,and also avoids the numbness and sensory abnormalities around the lips that may be caused by transoral endoscopic surgery.Compared with the endoscopic surgery through the chest and breast approach widely used in China,this technique is more convenient for unilateral level VI lymph node dissection and the exposure and protection of the recurrent laryngeal nerve and parathyroid glands.The authors started this technique in 2022 and have performed more than 200 cases of this procedure so far,and now explain it in conjunction with the authors'surgical videos.
Keywords：thyroid tumorthyroidectomyendoscopyaxillary approach
Publication Date：2024-06-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 16-19 )