{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T14:17:14Z","timestamp":1781619434017,"version":"3.54.5"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":35,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005866","name":"Far Eastern Memorial Hospital","doi-asserted-by":"publisher","award":["114-FTN0014"],"award-info":[{"award-number":["114-FTN0014"]}],"id":[{"id":"10.13039\/501100005866","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["110-2314-B-002-047"],"award-info":[{"award-number":["110-2314-B-002-047"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Remote-access thyroidectomy techniques such as the transoral endoscopic thyroidectomy vestibular approach (TOETVA) and bilateral axillo-breast approach (BABA) offer cosmetic advantages, yet multicentre evidence comparing perioperative safety, operative efficiency, and histopathological integrity is limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective multicentre cohort study included consecutive adult patients who underwent TOETVA or BABA at four tertiary referral centres between 1 January 2020 and 31 December 2022. Surgeons had surpassed the learning curve. Propensity score matching (1 : 1) was performed based on demographic and clinical variables. Patients with &amp;lt; 12 months follow-up were excluded. Data on operative time (total and phase-specific), postoperative pain, complications, specimen integrity (fragmentation and capsule status), length of hospital stay, reoperations, and mid-term outcome measures, including recurrence, were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>For 507 eligible patients (TOETVA, 216; BABA, 291), matching achieved balanced baseline characteristics. TOETVA had longer operative time than BABA (125.6 versus 97.7\u2005minutes; P &amp;lt; 0.001), with faster flap creation but slower thyroidectomy. Complication rates were similar for TOETVA and BABA, including vocal cord palsy (1.1% versus 2.8%, respectively) and hypoparathyroidism (2.2% versus 3.3%, respectively). TOETVA had higher rates of specimen disruption (12.8% versus 6.1%; P = 0.031), whereas tumour capsule integrity was comparable. Bilateral thyroidectomy independently prolonged operative time in both groups; tumour size and male sex also increased operative time in BABA. Mid-term recurrence was uncommon, although recurrence after BABA more often required open or chest wall incisions, whereas recurrence after TOETVA was managed through a limited cervical approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TOETVA and BABA are safe and effective remote-access thyroidectomy options, each with distinct technical considerations. TOETVA offers a scarless mid-line corridor with less postoperative discomfort but carries a higher risk of specimen disruption, whereas BABA provides broader exposure and shorter thyroidectomy time but is more affected by anatomical and tumour factors. These findings support evidence-based surgical planning and individualized patient counselling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bjsopen\/zrag077","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:30:04Z","timestamp":1778585404000},"source":"Crossref","is-referenced-by-count":0,"title":["Comparison of transoral and bilateral axillo-breast approach endoscopic thyroidectomy: multicentre study"],"prefix":"10.1093","volume":"10","author":[{"given":"Jiann-Ming","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Surgery, Far Eastern Memorial Hospital , New Taipei City ,","place":["Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1960-1423","authenticated-orcid":false,"given":"Ting-Chun","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Taiwan University Hospital , Taipei 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