{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T02:52:09Z","timestamp":1767495129536},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2013,4,5]],"date-time":"2013-04-05T00:00:00Z","timestamp":1365120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Bilateral axillo\u2010breast approach (BABA) robotic thyroidectomy has shown excellent cosmetic and surgical outcomes. The aim of the present study was to evaluate the safety, feasibility, and initial outcome of this procedure in patients with Graves\u2019 disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From June 2008 to July 2001, a total of 30 patients with Graves\u2019 disease were reviewed retrospectively. Patient demographics, operative indications, and surgical variables, including operative time, blood loss, excised thyroid weight, and complications, were collected and investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The thyroidectomies were classified as total (<jats:italic>n<\/jats:italic> = 21), near\u2010total (<jats:italic>n<\/jats:italic> = 6), or subtotal (<jats:italic>n<\/jats:italic> = 3). There were five indications for surgery: concomitant thyroid carcinoma or suspicious nodule (<jats:italic>n<\/jats:italic> = 22), recurrence after antithyroid medication (<jats:italic>n<\/jats:italic> = 2), local compressive symptoms (<jats:italic>n<\/jats:italic> = 1), patient\u2019s preference (<jats:italic>n<\/jats:italic> = 4), and side effects of antithyroid medication (<jats:italic>n<\/jats:italic> = 1). The mean operative time, console time, blood loss, and excised thyroid weight were 190\u00a0min (range: 105\u2013298\u00a0min), 113\u00a0min (range: 60\u2013227\u00a0min), 229\u00a0mL (range: 50\u2013550\u00a0mL), and 36.6 g (range: 7.8\u2013123.0 g), respectively. There were no cases of postoperative bleeding or conversions to open surgery. Postoperative transient hypoparathyroidism and vocal cord palsy occurred in 13 (43.3 %) and 4 (13.3 %) cases. Permanent hypoparathyroidism occurred in 1 (3.3 %) case. All patients were satisfied with the cosmetic outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BABA robotic thyroidectomy is a feasible and safe treatment for Graves\u2019 disease. It is recommended as an alternative for patients who are concerned by the cosmetic effects of traditional thyroidectomy.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2027-4","type":"journal-article","created":{"date-parts":[[2013,4,4]],"date-time":"2013-04-04T17:25:52Z","timestamp":1365096352000},"page":"1576-1581","source":"Crossref","is-referenced-by-count":24,"title":["Bilateral Axillo\u2010Breast Approach Robotic Thyroidectomy for Graves\u2019 Disease: An Initial Experience in a Single Institute"],"prefix":"10.1002","volume":"37","author":[{"given":"Hyungju","family":"Kwon","sequence":"first","affiliation":[{"name":"Department of Surgery Seoul National University Hospital and College of Medicine 101 Daehak\u2010ro, Jongno\u2010gu 110\u2010744 Seoul South Korea"},{"name":"Division of Surgery Thyroid Center, Seoul National University Cancer Hospital Seoul South Korea"},{"name":"Cancer Research Institute Seoul National University College of Medicine Seoul South 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