{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T16:50:16Z","timestamp":1780332616670,"version":"3.54.1"},"reference-count":26,"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>The enhanced recovery after surgery (ERAS) protocol has been widely adopted across various surgical subspecialties. Transoral robotic thyroidectomy (TORT) has grown in popularity in the past decade. Therefore, this study aimed to discuss the initial application of ERAS in TORT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively analyzed the clinical data of 95 patients who had undergone TORT in our department from April 2020 to March 2022. All patients were treated using the ERAS protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      TORT was successfully performed in all 95 patients. Postoperative histopathological examination revealed papillary carcinoma. The average operative time, hemorrhage volume, length of postoperative stay, and pain score (24 hours after surgery) were 227.32\u2009\u00b1\u200944.37 minutes, 35.81\u2009\u00b1\u200923.45\u2009mL, 1.37\u2009\u00b1\u20090.62 days, and 2.11\u2009\u00b1\u20090.54, respectively. Sixty patients received an analgesia pump, with no significant difference in pain scores between the patients with and without the pump (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). Eight patients experienced transient mandibular numbness, and two experienced transient hoarseness postoperatively. Of the 24 cases of total thyroidectomy\/bilateral subtotal thyroidectomy (ST) or lobectomy with isthmusectomy plus contralateral ST patients, 8 developed transient hypoparathyroidism. No common complications, such as incision infection, hematoma\/effusion formation, coughing while drinking, or permanent hoarseness\/hypocalcemia, were reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our initial outcomes demonstrate that implementing an ERAS protocol in TORT is safe and feasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2023.0099","type":"journal-article","created":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T09:24:50Z","timestamp":1687857890000},"page":"763-767","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Initial Clinical Application of Enhanced Recovery After Transoral Robotic Thyroidectomy"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0417-0328","authenticated-orcid":false,"given":"Yi","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Breast and Thyroid Surgery, Daping Hospital, Army Medical University, Chongqing, P.R. China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, Daping Hospital, Army Medical University, Chongqing, P.R. China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, Daping Hospital, Army Medical University, Chongqing, P.R. China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, Daping Hospital, Army Medical University, Chongqing, P.R. China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaqun","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, Daping Hospital, Army Medical University, Chongqing, P.R. China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, Daping Hospital, Army Medical University, Chongqing, P.R. China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, Daping Hospital, Army Medical University, Chongqing, P.R. China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Breast and Thyroid Surgery, Daping Hospital, Army Medical University, Chongqing, P.R. China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0366-x"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2019.11.009"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.4952"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2020.04.065"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26617"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005356"},{"key":"e_1_3_5_9_2","first-page":"1","article-title":"Application and evaluation of a care plan for enhanced recovery after thyroidectomy","volume":"59","author":"Zheng L","year":"2022","unstructured":"Zheng L, , Zhang S. Application and evaluation of a care plan for enhanced recovery after thyroidectomy. Inquiry, 2022; 59:1\u20137; doi: 10.1177\/00469580221090404","journal-title":"Inquiry"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-018-04877-w"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-022-06881-7"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11758"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.001919"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.20892\/j.issn.2095-3941.2021.0108"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2020.06.011"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00432-021-03891-1"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.3366"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.yasu.2019.04.009"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26149"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25661"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.21053\/ceo.2018.00766"},{"issue":"1","key":"e_1_3_5_22_2","first-page":"26","article-title":"Expert Consensus on Enhanced Recovery After Surgery (ERAS) in Thyroid Surgery (2018 Edition)","volume":"28","author":"Chinese Association of Head and Neck Oncology","year":"2019","unstructured":"Chinese Association of Head and Neck Oncology, , Chinese Association of Thyroid Oncology. Expert Consensus on Enhanced Recovery After Surgery (ERAS) in Thyroid Surgery (2018 Edition). 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