Application, innovation, and quality control of endoscopic thyroidectomy by gasless unilateral axillary approach

Journal Title: Journal of Surgery : Concepts & Practice - Year 2025, Vol 30, Issue 1

Abstract

The endoscopic thyroidectomy by gasless unilateral axillary approach (GUA) represents a significant advancement in the field of endoscopic thyroid surgery, offering notable aesthetic and clinical therapeutic benefits. This paper reviewed the current clinical application, core technological innovations, quality control systems, and future developmental directions of GUA. Research indicated that GUA achieved surgical outcomes comparable to traditional open surgery in the treatment of benign thyroid tumors and thyroid cancer, while substantially enhancing cosmetic results and patient satisfaction. By optimizing the surgical approach design, enhancing cavity construction equipment, and standardizing the operational process, GUA markedly reduced the incidence of postoperative complications, preserved the anterior cervical functional area, and improved patients' postoperative quality of life. Furthermore, multidisciplinary collaboration and thorough pre-operative evaluation were fundamental to surgical success, while intraoperative quality control measures and a comprehensive postoperative follow-up system ensured the safety and efficacy of the procedure. In the future, the integration of robotic technology and advancements in single-site devices are anticipated to enhance the role of GUA in endoscopic thyroid surgery, thereby offering patients more minimally invasive and aesthetically favorable treatment options.

Authors and Affiliations

Yawen GUO, Chuanming ZHENG, Minghua GE

Keywords

Related Articles

Application and evaluation of modified “double U-stitch pancreaticojejunostomy” in pancreaticoduodenectomy

[Objective] To evaluate the efficacy of double U-stitch and modified “double U-stitch pancreaticojejunostomy” in pancreaticoduodenectomy. [Methods] We retrospectively analyzed the clinical information of 150 patients who...

Value of contrast-enhanced ultrasound in differentiating benign and malignant gallbladder lesions which diameter more than 1 cm

[Objective] To investigate the clinical value of contrast-enhanced ultrasound (CEUS) in differential diagnosis between benign and malignant gallbladder lesions which diameter more than 1 cm. [Methods] A retrospective a...

Application of endoscopic ultrasound interventional therapy in biliary and pancreatic diseases

Endoscopic ultrasound (EUS) has been greatly developed in the diagnosis of digestive diseases. In recent years, with the continuous innovation of endoscopic technology and accessories, important breakthroughs have been m...

Clinical value analysis of simple resection of pancreatic solid pseudopapillary tumor

[Objective] To explore the clinical application value of simple resection in the treatment of pancreatic solid pseudopapillary tumor(SPT). [Methods] Retrospective analysis of clinical and follow-up data of pancreatic SPT...

Minimally invasive thyroid surgery: development and future

Since the 90s of the 20th century, thyroid endoscopic surgery has undergone the development from multi-port to single-site, from endoscopy to robot. In recent years, the emergence of da Vinci single-port robots and domes...

Download PDF file
  • EP ID EP765820
  • DOI 10.16139/j.1007-9610.2025.01.01
  • Views 23
  • Downloads 0

How To Cite

Yawen GUO, Chuanming ZHENG, Minghua GE (2025). Application, innovation, and quality control of endoscopic thyroidectomy by gasless unilateral axillary approach. Journal of Surgery : Concepts & Practice, 30(1), -. https://europub.co.uk/articles/-A-765820