{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:21:15Z","timestamp":1761823275106},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2010,6,16]],"date-time":"2010-06-16T00:00:00Z","timestamp":1276646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008990","name":"Science and Technology Department of Zhejiang Province","doi-asserted-by":"publisher","award":["2008C30028"],"award-info":[{"award-number":["2008C30028"]}],"id":[{"id":"10.13039\/501100008990","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Endoscopic thyroidectomy via breast approach provides excellent results from a cosmetic viewpoint. We applied this procedure to Graves\u2019 disease and evaluated its feasibility and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From May 2006 to November 2009, a total of 37 patients (34 women and 3\u00a0men) with Graves\u2019 disease were included in this study. Bilateral subtotal thyroidectomy, which left behind 4\u20136 g of thyroid remnant, was the standard procedure. For markedly enlarged goiter, fractional resection was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This procedure was performed successfully in all 37 patients. The mean operative time, mean blood loss, and mean excised thyroid weight were 84.7\u00a0min, 64\u00a0ml, and 51.8 g, respectively. Fractional resection was performed in six cases, where the mean operative time, mean blood loss, and mean excised thyroid weight were 119\u00a0min, 138.3\u00a0ml, and 102.2 g, respectively. Postoperative transient hypocalcemia occurred in 5 cases (13.5%), and no other complications were noted. The average postoperative hospital stay was 3.4 (range, 3\u20135) days. One case experienced recurrent hyperthyroidism during a mean follow\u2010up period of 13\u00a0months. All patients were satisfied with the cosmetic result of the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Endoscopic subtotal thyroidectomy performed via breast approach is a technically feasible and safe procedure with excellent cosmetic results for patients with Graves\u2019 disease. In patients with markedly enlarged thyroid glands, subtotal thyroidectomy can be achieved through a fractional resection strategy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-010-0662-6","type":"journal-article","created":{"date-parts":[[2010,6,15]],"date-time":"2010-06-15T14:25:09Z","timestamp":1276611909000},"page":"2228-2232","source":"Crossref","is-referenced-by-count":19,"title":["Endoscopic Thyroidectomy via Breast Approach for Patients with Graves\u2019 Disease"],"prefix":"10.1002","volume":"34","author":[{"given":"Zhi Yu","family":"Li","sequence":"first","affiliation":[{"name":"Department of General Surgery, Second Affiliated Hospital Zhejiang University 310009 Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Second Affiliated Hospital Zhejiang University 310009 Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Second Affiliated Hospital Zhejiang University 310009 Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shao Ming","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Second Affiliated Hospital Zhejiang University 310009 Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li Ping","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Second Affiliated Hospital Zhejiang University 310009 Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ri Shen","family":"Que","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Second Affiliated Hospital Zhejiang University 310009 Hangzhou 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