Scarless Neck Thyroidectomy Using Bilateral Axillo-breast Approach: Initial Impressions After Introduction in a Specialized Unit and a Review of the Literature

Thyroid cancer surgery – in what direction are we going? A mini-review

“…The degree of cosmetic satisfaction after these procedures in many patients is high, but it might differ slightly according to the approach. 31 Transoral, endoscopic, or robotic procedure?…”

“…Some authors have emphasized that EBABA, as an outside neck approach, is an alternative for select patients who are very concerned about scarless procedures and who are not qualified to undergo treatment with a transoral technique. 31 Other authors have stated that EBABA is the most suitable approach for patients with larger thyroid tumors, toxic goiters, or low-grade TC. 32 The currently recommended size of thyroid tumors that can be treated by scarless ET is 4 to 6 cm.…”

“…16,17,34 Thus, several studies have demonstrated the superiority of scarless procedures over open surgery. 3,5,7,8,17,[29][30][31][32]34,35 However, the most certain advantage is the lack of a neck scar; the other clinical outcomes remain debatable. For example, the oncological safety of EBABA or TOETVA for patients with PTC is still unknown, and there is no worldwide consensus on this type of surgery for the treatment of this malignancy.…”

“…Aside from the longer time required by these procedures than by conventional thyroidectomy, the degree of cosmetic satisfaction is very high. 31 Oncological effectiveness is one of the most important concerns in the treatment of all malignant tumors; the same applies to thyroid tumors. Although PTC has low aggressiveness and an excellent prognosis, high accuracy of lymphadenectomy, if required, is also critical.…”