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A 58-years-old woman diagnosed of right toxic thyroid nodule, measuring 21x17x30mm, compatible with Bethesda IV in cytological results. She is proposed for right thyroidectomy by right transaxyloareolar approach. A 12mm trocar is placed at the lateral mammary sulcus, for 0º optics. Next, a 5mm trocar is placed under direct vision at the superior periareolar level and another 5mm trocar in the anterior axillary line. Attached images show trocars disposition, as well as the transluminescence secondary to the dissection of the cervical subcutaneous space (Figure 1). Aesthetic result on the 7th postoperative day [1-3] (Figure 2).

Figure 1. Transluminescence secondary to the dissection of the cervical subcutaneous space

Figure 2. Aesthetic result on the 7th postoperative day

References

1. Bhargav PR, Amar V (2013) Operative technique of endoscopic thyroidectomy: a narration of general principles. Indian J Surg 75: 216-219. [Crossref]
2. Russell JO, Noureldine SI, Al Khadem MG, Tufano RP (2016) Minimally invasive and remote-access thyroid surgery in the era of the 2015 American Thyroid Association guidelines.  Laryngoscope Investig Otolaryngol 1: 175-179. [Crossref]
3. Huang JK, Ma L, Song WH, Lu BY, Huang YB, et al. (2016) Quality of life and cosmetic result of single-port access endoscopic thyroidectomy via axillary approach in patients with papillary thyroid carcinoma. Onco Targets Ther 9: 4053-4059. [Crossref]