{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:36:17Z","timestamp":1761896177671},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T00:00:00Z","timestamp":1452470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T00:00:00Z","timestamp":1452470400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is an ongoing debate about whether robotic thyroidectomy (RT) is appropriate for Graves\u2019 disease. The aim of this study was to compare the safety of bilateral axillo\u2010breast approach (BABA) RT with that of open thyroidectomy (OT) in patients with Graves\u2019 disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2008 to June 2014, 189 (44 BABA RT and 145 OT) patients underwent total thyroidectomy for Graves\u2019 disease. Recurrence of Graves\u2019 disease, intraoperative blood loss, hospital stay, and complication rates including recurrent laryngeal nerve (RLN) palsy and hypoparathyroidism were analyzed between BABA RT and OT groups, after propensity score matching according to age, gender, body mass index, surgical indication, the extent of operation, excised thyroid weight, and follow\u2010up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No patient experienced recurrence of Graves\u2019 disease after median follow\u2010up of 35.0\u00a0months. Intraoperative blood loss (151.8 \u00b1 165.4\u00a0mL vs. 134.5 \u00b1 75.4\u00a0mL; <jats:italic>p<\/jats:italic> = 0.534) and hospital stay (3.4 \u00b1 0.7\u00a0day vs. 3.3 \u00b1 0.7\u00a0day; <jats:italic>p<\/jats:italic> = 0.564) were not different between BABA RT and OT groups. Complication rates including transient RLN palsy (11.4 vs. 11.4 %; <jats:italic>p<\/jats:italic> = 1.000), transient hypoparathyroidism (18.2 vs. 20.5 %; <jats:italic>p<\/jats:italic> = 0.787), permanent RLN palsy (0 vs. 2.3 %; <jats:italic>p<\/jats:italic> = 0.315), and permanent hypoparathyroidism (2.3 vs. 2.3 %; <jats:italic>p<\/jats:italic> = 1.000) were also comparable between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BABA RT for Graves\u2019 disease showed comparable surgical completeness and complications to conventional OT. BABA RT can be recommended as an alternative surgical option for patients with Graves\u2019 disease who are concerned about cosmesis.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3403-7","type":"journal-article","created":{"date-parts":[[2016,1,11]],"date-time":"2016-01-11T18:47:47Z","timestamp":1452538067000},"page":"498-504","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Comparison of Bilateral Axillo\u2010Breast Approach Robotic Thyroidectomy with Open Thyroidectomy for Graves\u2019 Disease"],"prefix":"10.1002","volume":"40","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 Korea"},{"name":"Cancer Research Institute Seoul National University College of Medicine Seoul 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