Thyroid is a butterfly-shaped gland located in front of neck. It takes care of almost all of the metabolism in the body. It also takes care of many activities in our body as how fast we burn calories and also the heartrate. Thyroid makes two hormones, T4 is thyroxine, T3 is triiodothyronine. Women are most likely to get affected than men.

Thyroid in Women: One in eight women develops thyroid problem. Thyroid disease can cause irregular periods. It affects ovulation, makes it difficult to get pregnant. During pregnancy it can cause problem for both mother and the baby.

Disorders of Thyroid:
  • Hyperthyroidism.
  • Hypothyroidism.
  • Hashimoto’s disease.
  • Graves’ disease.
  • Goiter.
  • Thyroid nodule.
  • Thyroid cancer.

Endoscopic Thyroidectomy

Endoscopic thyroidectomy is fast becoming a reality. Endoscopic thyroidectomy is a surgical procedure where the thyroid gland is removed without giving a scar on the neck.
There are different approaches available:
  • Transoral approach.
  • Axillary approach.
  • Breast approach.

Transoral Approach

Transoral endoscopic thyroidectomy is a scarless surgery for thyroid, where incisions are given on the inner aspect of lower lip and the endoscope is passed through the mouth into the thyroid and the thyroid gland is removed using special endoscopic instrument.

Breast and Axillary Approach

In endoscopic thyroidectomy we can use the axillary or breast approach where two small 5 mm incision are made and one 10-11 mm incision is made and special endoscopic trocars are placed. Through these trocars we place the endoscope which shows a magnified picture on the monitor and special endoscopic instruments are used to remove the thyroid gland. First space is made below the skin and then once surgeon reaches the neck separates the muscles to reach the thyroid gland. Once the thyroid gland is dissected out from the neck it is removed in a Endobag. The muscles are then stitched with absorbable stitch and a drain is placed, which is removed next day before patient leaves the hospital.

How does this procedure differ from traditional thyroid surgery?

Actually, it is the same procedure. The biggest difference is that there is no scar in the neck and hardly any blood loss during surgery leading to fast recovery.

Today Vodeo

Breast Approach


Axillary Approach


Specimen after total thyroidectomy



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