Laparoscopic surgery for thyroid and parathyroid diseases involves subcutaneous insufflation of carbon dioxide gas, which causes a problem with gas absorption. Shimizu et al. developed video-assisted thyroid lobectomy with subcutaneous wire lifting in 1998 (21). Subsequently, gasless video-assisted neck surgery has become popular for thyroid adenoma, thyroid cancer, and parathyroid adenoma because it is a less invasive, aesthetically excellent technique without the adverse effects of carbon dioxide (22-24).
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