Endoscopic transaxillary approach to the thyroid gland: our early experience

Abstract

Transaxillary endoscopic thyroidectomy is a safe and feasible alternative to the traditional open surgical approach in select patients requiring surgical removal of the thyroid gland. The resultant improved cosmetic outcome and enhanced operative visualization may offer a practicable alternative for select patients requiring surgical removal of the thyroid gland.

Endoscopic thyroidectomy via a unilateral axillo-breast approach without gas insufflation for unilateral benign thyroid lesions

“…The addition of preemptive analgesia using the tumescent analgesic solution may provide significant postoperative pain control in the immediate postoperative period [19]. Several patients reported mild hypesthesia or paresthesia in the neck and anterior chest wall.…”

“…With the axillary approach, the cosmetic results were excellent because the small scars left in the axilla were covered completely by the patient's arm [6,7,19]. However, with this technique, the three ports in the axilla are located in such a narrow area that the application of surgical instruments is limited.…”

Operative Technique of Endoscopic Thyroidectomy: A Narration of General Principles

“…The obvious advantage of the extracervical approach is absence of visible scar in the neck and upper chest. The feasibility of the transaxillary approach has been demonstrated by many investigators, which further improves the cosmesis [10,11]. Even novel access routes and methods such as postauricular approach [12], transoral approach [13], and robotic ET [14] have been reported.…”

Comparative evaluation of standard procedure and minimally invasive hemithyroidectomy in follicular tumors of the thyroid gland

“…Ïîøóê ìåòîä³â çìåíøåííÿ ðîçì³ðó ðóáöÿ íà øè¿ âåäåòüñÿ ÿê ó íàø³é êðà¿í³, òàê ³ çà êîðäî-íîì [5][6][7][8][9][10]12]. Îñíîâíîþ óìîâîþ º àäåêâàò-í³ñòü õ³ðóðã³÷íîãî äîñòóïó, ðàäèêàëüí³ñòü ³ áåç-ïåêà âòðó÷àííÿ.…”