{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:03:20Z","timestamp":1777921400051,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate the clinical efficacy and safety of endoscopic thyroidectomy through the oral vestibular approach and the breast approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective analysis was done on clinical data of 80 patients who received an endoscopic thyroidectomy from April 2018 to March 2019. The research group had endoscopic thyroidectomy through the oral vestibular approach, whereas the control group had endoscopic thyroidectomy through the areola breast approach. Comparison between the two groups including intraoperative bleeding, operation time, total postoperative drainage, drainage time, postoperative sustained pain time, recovery feeding time, postoperative hospitalization duration, satisfactory esthetic outcomes of incision, central lymph node clearance, skin injury, infection incidence, and complications such as facial hematoma, subcutaneous emphysema, abnormal feeling of the neck and chest, and pleural injury was recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was no significant difference between the two groups in the amount of intraoperative bleeding, operation time, total postoperative drainage, drainage time, postoperative sustained pain time, recovery feeding time, and postoperative hospitalization time (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). The incidence of complications such as skin injury, infection, wound hematoma, subcutaneous emphysema, abnormal feeling of the neck and chest, and pleural injury was not statistically different between the two groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). There was no significant difference in the number of lymph nodes cleaned in the central area between the two groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). The overall satisfaction of the patients with the cosmetic effects of the incision (100.00%) was higher than that of the control group (90.00%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The clinical treatment effect and safety in the two groups were similar, but the transoral group had better cosmetic effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2019.0562","type":"journal-article","created":{"date-parts":[[2019,10,17]],"date-time":"2019-10-17T11:47:16Z","timestamp":1571312836000},"page":"170-174","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":29,"title":["Comparative Study Between Endoscopic Thyroid Surgery via the Oral Vestibular Approach and the Areola Approach"],"prefix":"10.1177","volume":"30","author":[{"given":"Fangdong","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Breast and Thyroid Surgery, The Affiliated Zhongshan Hospital of Dalian University, Dalian, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenrui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, Dezhou People's Hospital of Shandong Province, Dezhou, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyu","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, The Affiliated Zhongshan Hospital of Dalian University, Dalian, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng","family":"Xiang","sequence":"additional","affiliation":[{"name":"Department of Thyroid Surgery, The Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Thyroid Surgery, The Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Thyroid Surgery, The Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2019.03.010"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2011.267"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-06608-7"},{"key":"e_1_3_3_5_2","first-page":"1480","article-title":"[Endoscopic thyroidectomy through anterior chest and breast approach for papillary thyroid microcarcinoma]","volume":"46","author":"Wang P","year":"2008","unstructured":"Wang P, , Li ZY, , Xu SM. [Endoscopic thyroidectomy through anterior chest and breast approach for papillary thyroid microcarcinoma]. Zhonghua Wai Ke Za Zhi [Chinese journal of surgery], 2008; 46:1480\u20131482.","journal-title":"Zhonghua Wai Ke Za Zhi [Chinese journal of surgery]"},{"key":"e_1_3_3_6_2","first-page":"276","article-title":"Transoral video assisted thyroidectomy: A systematic review","volume":"39","author":"Tartaglia F","year":"2018","unstructured":"Tartaglia F, , Maturo A, , Di Matteo FM, , De Anna L, , Karpathiotakis M, , Pelle F, et al. Transoral video assisted thyroidectomy: A systematic review. G Chir, 2018; 39:276\u2013283.","journal-title":"G Chir"},{"key":"e_1_3_3_7_2","article-title":"Transoral endoscopic thyroidectomy for thyroid carcinoma: Outcomes and surgical completeness in 150 single-surgeon cases","author":"Ahn JH","year":"2019","unstructured":"Ahn JH, , Yi JW. Transoral endoscopic thyroidectomy for thyroid carcinoma: Outcomes and surgical completeness in 150 single-surgeon cases. Surg Endosc, 2019, [Epub ahead of print]; DOI: 10.1007\/s00464-019-06841-8.","journal-title":"Surg Endosc"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2019-00116"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2018.11.009"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2588-6"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5594-x"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900476"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2017.93.2.70"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2016.0291"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3658-8"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2019.0562","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0562","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2019.0562","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:53:23Z","timestamp":1777665203000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2019.0562"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,1]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2,1]]}},"alternative-id":["10.1089\/lap.2019.0562"],"URL":"https:\/\/doi.org\/10.1089\/lap.2019.0562","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,1]]}}}