{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:03:51Z","timestamp":1777921431799,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"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":[[2020,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Adoption of continuous intraoperative neural monitoring (C-IONM) in endoscopic thyroid surgery is limited due to the uneasy application of C-IONM electrode. Feasibility for transcutaneous vagal nerve stimulation was tested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Vagus nerve (VN) and recurrent laryngeal nerve (RLN) were mapped and stimulated in different neck sites by (1) transcutaneous monopolar intermitted stimulation; (2) prototype for continuous transcutaneous stimulating electrodes (TSEs), that is, suction ball C-IONM electrode remodeled; (3) stimulation subsequently to neck CO\n                      <jats:sub>2<\/jats:sub>\n                      insufflation; (4) direct stimulation of surgical exposed nerves. Electromyographic (EMG) parameters were compared.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Six anterior neck locations evoked EMG signals of VNs and RLNs. Location Nos. 3 and 6 according to our scheme were over the VNs, confirmed by ultrasonography and subsequent dissection. Other locations did not correspond to nerves sites. Transcutaneous thresholds were higher than surgical exposed ones to produce a consistent and satisfactory EMG response. TSE recorded solely in location No. 5 with amplitude values 256-9\u2009\u03bcV. It was not possible to stimulate and monitor the RLN and VN after neck CO\n                      <jats:sub>2<\/jats:sub>\n                      insufflation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Transcutaneous C-IONM is unfeasible for endoscopic thyroidectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0073","type":"journal-article","created":{"date-parts":[[2020,3,24]],"date-time":"2020-03-24T12:18:11Z","timestamp":1585052291000},"page":"1095-1101","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Continuous Neural Monitoring in Endoscopic Thyroidectomy: Feasibility Experimental Study for Transcutaneous Vagal Nerve Stimulation"],"prefix":"10.1177","volume":"30","author":[{"given":"Yishen","family":"Zhao","sequence":"first","affiliation":[{"name":"Division of Thyroid Surgery, China\u2013Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, Changchun City, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Changlin","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Thyroid Surgery, China\u2013Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, Changchun City, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daqi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Division of Thyroid Surgery, China\u2013Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, Changchun City, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shijie","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Thyroid Surgery, China\u2013Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, Changchun City, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tie","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Thyroid Surgery, China\u2013Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, Changchun City, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianlorenzo","family":"Dionigi","sequence":"additional","affiliation":[{"name":"Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood \u2018Gaetano Barresi\u2019, University Hospital G. Martino, University of Messina, Messina, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Sun","sequence":"additional","affiliation":[{"name":"Division of Thyroid Surgery, China\u2013Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, Changchun City, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,7]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03350349"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1743-9191(13)60014-X"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21119"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9889"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/13645700701383241"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.04.036"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1553350611409955"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000542"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2018.0054"},{"key":"e_1_3_5_11_2","first-page":"95","article-title":"Vagus nerve stimulation for standardized monitoring: Technical notes for conventional and endoscopic thyroidectomy","volume":"23","author":"Dionigi G","year":"2013","unstructured":"Dionigi G, , Kim HY, , Wu CW, , Lavazza M, , Ferrari C, , Leotta A, , Spampatti S, , Rovera F, , Rausei S, , Boni L, , Chiang FY. Vagus nerve stimulation for standardized monitoring: Technical notes for conventional and endoscopic thyroidectomy. Surg Technol Int, 2013; 23:95\u2013103.","journal-title":"Surg Technol Int"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23154"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-010-0693-3"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-45779-8"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.3249"}],"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.2020.0073","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2020.0073","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2020.0073","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:53:59Z","timestamp":1777665239000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2020.0073"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,1]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10,1]]}},"alternative-id":["10.1089\/lap.2020.0073"],"URL":"https:\/\/doi.org\/10.1089\/lap.2020.0073","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,1]]}}}