{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:18:30Z","timestamp":1792451910760,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"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":[[2023,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Minimally invasive and endoscopic surgical techniques have surpassed the conventional open thyroidectomy for the treatment of thyroid nodules. Trans-axillary, Unilateral Axillo-Breast Approach (UABA), Bilateral Axillo-Breast Approach, and Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) are the most common endoscopic procedures performed currently. This article highlights our experiences with UABA and TOETVA over a period of 6 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Between January 2015 and December 2020, we retrospectively analyzed our experience in Endoscopic thyroidectomy with 119 patients using UABA (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200972) and TOETVA (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200947) in our tertiary care teaching hospital. Both approaches used the standard three-port technique. Real time angiography was performed intraoperatively using Indocyanine Green dye to delineate the vessels in all patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean operative time for UABA and TOETVA was 90 and 110 minutes, respectively. Estimated blood loss was 18\u2009mL in the former and 20\u2009mL in the latter. Temporary Recurrent Laryngeal Nerve palsy and Hypoparathyroidism were minimal with TOETVA (5 patients versus 4 patients and 7 patients versus 2 patients). Shorter duration of hospital stay was observed with UABA (3 days versus 5 days). Cosmetic satisfaction was better with TOETVA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Based on our 6-year experience, we propose \u201cJJ Hospital Criteria,\u201d which we currently follow to decide which surgical approach will yield best results. UABA and TOETVA are safe, feasible, and give exceptional cosmetic satisfaction. Both approaches should be seen as complementary rather than competitive.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2023.0072","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T15:54:04Z","timestamp":1685030044000},"page":"728-737","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Endoscopic Thyroidectomy: A 6-Year Experience from a Tertiary Care Teaching Hospital in Western India"],"prefix":"10.1177","volume":"33","author":[{"given":"Ajay","family":"Bhandarwar","sequence":"first","affiliation":[{"name":"Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amol","family":"Wagh","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2556-3745","authenticated-orcid":false,"given":"Amarjeet","family":"Tandur","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6028-0444","authenticated-orcid":false,"given":"G.","family":"Balamurugan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supriya","family":"Bhondve","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shekhar","family":"Jadhav","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurabh","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chintan","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800830656"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900476"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2020.0272"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40618-017-0676-0"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2013.0459"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2017.0309"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rcl.2020.07.007"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.21037\/gs.2019.12.05"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00019509-200002000-00001"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004640080139"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129689-200306000-00011"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0481-y"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-010-0846-0"},{"issue":"1","key":"e_1_3_8_15_2","first-page":"33","article-title":"Thyroidectomy: A novel endoscopic oral vestibular approach","volume":"155","author":"Wang C","year":"2014","unstructured":"Wang C, , Zhai H, , Liu W, et al. 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