{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T23:51:51Z","timestamp":1770421911471,"version":"3.49.0"},"reference-count":3,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009367","name":"Mansoura University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009367","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100009367","name":"Mansoura University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009367","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The extra\u2010cervical lateral route endoscopic thyroidectomy (LRET) approaches such as the trans\u2010axillary, breast and axillo\u2010breast approaches are proved to be safe, feasible, esthetic, highly effective. The inherent difficulty and long learning curve of these techniques prevents its widespread application.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Benefiting from the experience of more than 5 years in LRET approaches with CO<jats:sub>2<\/jats:sub> insufflation, the authors developed ten surgical key steps and a critical view of safety (CVS) for performing thyroid lobectomy via LRET approaches. A detailed description and a video of the surgical technique is provided.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Application of these structured key steps and CVS was feasible and effective in achieving thyroid lobectomy in all selected cases with unilateral goiter up to 8\u00a0cm, even in cases with thyroiditis or controlled toxic adenoma, without any adverse events and with shorter operative time than the non\u2010structured surgical technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The described ten key steps and CVS are conclusive, applicable, easy to learn. Our video could act as a guide for promoting the standardized, safe, and wide application of LRET techniques.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-06977-8","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T14:02:51Z","timestamp":1679925771000},"page":"1738-1743","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Lateral Route Endoscopic Thyroidectomy with gas Insufflation: Proposed Critical View of Safety"],"prefix":"10.1002","volume":"47","author":[{"given":"Islam A.","family":"Elzahaby","sequence":"first","affiliation":[{"name":"Assistant Professor of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine Mansoura University 60 Gomhoria Street 35511 Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Hamdy","sequence":"additional","affiliation":[{"name":"Assistant Professor of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine Mansoura University 60 Gomhoria Street 35511 Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Abdallah","sequence":"additional","affiliation":[{"name":"Assistant Professor of Surgical Oncology, Mansoura Oncology Center (OCMU), Faculty of Medicine Mansoura University 60 Gomhoria Street 35511 Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129689\u2010200002000\u201000001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","unstructured":"ElzahabyIA FathiA AbdelwahabKet al. Endoscopic thyroidectomy using the unilateral axillo\u2010breast approach versus the modified anterior chest wall approach: a prospective comparative study.Surg Laparosc Endosc Percutan Tech(2018)10.1097\/SLE.000000000000058230260917","DOI":"10.1097\/SLE.0000000000000582"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","unstructured":"TanYH DuGN XiaoYGet al. The false thyroid capsule: new findings.J Laryngol Otol(2013)10.1017\/S002221511300166723941819","DOI":"10.1017\/S0022215113001667"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-023-06977-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-023-06977-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-023-06977-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-023-06977-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T16:44:02Z","timestamp":1703349842000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-023-06977-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,27]]},"references-count":3,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1007\/s00268-023-06977-8"],"URL":"https:\/\/doi.org\/10.1007\/s00268-023-06977-8","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,27]]},"assertion":[{"value":"26 February 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 March 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by Mansoura University Institutional Review Board. The Proposal Code: R.21.09.1428.R1 - 2021\/10\/05.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written informed consent was obtained from all the participants after detailed discussion of the planned procedure and its potential sequelae. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Informed consent was obtained from all the participants in this research for publication of this research and any accompanying images.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}]}}