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. 2022 Feb 23;12:779621. doi: 10.3389/fonc.2022.779621

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Copyright © 2022 Yu, Li, Liu, Jiang, Liu, He, Wang and Wang

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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INTP strategy was applied in trans breast endoscopic thyroidectomy. (A) Expose the inferior pole of thyroid lobe. (B) Expose one segment of RLN. (C) Establish the “neural tunnel”. (D) Endoscopic gauze was stuffed. (E) UltraCision implementation upon the gauze. (F) Completing RLN separation pathway. GF, grasp forceps; ITA, inferior thyroid artery; HS, harmonic scalpel; SM, strap muscles; DF, dissection forceps; RLN, recurrent laryngeal nerve; EG, endoscopic gauze; INTP, intraoperative nerve tunnel protecting.