{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T14:44:52Z","timestamp":1792161892311,"version":"4.4.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":214,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Transoral endoscopic thyroidectomy via the vestibular approach (TOETVA) has emerged as a scarless, remote\u2010access surgical technique for thyroid cancer. However, evidence regarding its feasibility and oncologic safety in bilateral papillary thyroid carcinoma (PTC) remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>We conducted a prospective study at a single high\u2010volume endocrine surgery center in Vietnam from January 2020 to July 2024. Patients with clinically and cytologically confirmed bilateral PTC (tumor size &lt;\u200920\u2009mm) underwent TOETVA with total thyroidectomy and bilateral central lymph node (CLN) dissection. Outcomes assessed included operative time, complications, lymph node yield, and early oncologic outcomes. Risk stratification and radioactive iodine (RAI) therapy were applied per 2015 American Thyroid Association guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 30 patients (96.7% female, mean age 33.1\u2009years) were included. The average operative time was 104.0\u2009min, and mean blood loss was 16.3\u2009mL. Transient complications included hypoparathyroidism (10.0%) and recurrent laryngeal nerve injury (13.3%); no permanent complications were observed. CLN metastasis was found in 46.7% of cases. Among 10 patients who received RAI therapy, all had favorable responses. At a median follow\u2010up of 35\u2009months, no structural recurrence or distant metastasis has been detected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TOETVA may represent a feasible surgical option for selected patients with bilateral PTC \u2264\u200920\u2009mm, yielding acceptable surgical morbidity and encouraging early oncologic outcomes without visible scarring. The technique is particularly suitable for experienced endocrine surgeons. Further multicenter studies are warranted to confirm these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70362","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T23:31:58Z","timestamp":1785799918000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transoral Endoscopic Thyroidectomy for Bilateral Papillary Thyroid Carcinoma: Early Outcomes From a Vietnamese Center"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9943-4217","authenticated-orcid":false,"given":"Hau Xuan","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Oncology Hanoi Medical University  Hanoi Vietnam"},{"name":"Oncology Center Hanoi Medical University Hospital  Hanoi Vietnam"},{"name":"Quan Su II Department of Surgery Vietnam National Cancer Hospital  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2114-0224","authenticated-orcid":false,"given":"Hien Xuan","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Oncology Hanoi Medical University  Hanoi Vietnam"},{"name":"Oncology Center Hanoi Medical University Hospital  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2161-7469","authenticated-orcid":false,"given":"Duong Thai","family":"Pham","sequence":"additional","affiliation":[{"name":"Quan Su II Department of Surgery Vietnam National Cancer Hospital  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6072-7098","authenticated-orcid":false,"given":"Tri Minh","family":"Ngo","sequence":"additional","affiliation":[{"name":"Department of Oncology Hanoi Medical University  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3578-7645","authenticated-orcid":false,"given":"Nhat Tan","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Oncology Center Hanoi Medical University Hospital  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9397-5220","authenticated-orcid":false,"given":"Linh Dieu","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Tan Trieu Outpatient Department, Tan Trieu Campus Vietnam National Cancer Hospital  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7791-8843","authenticated-orcid":false,"given":"Quang","family":"Van Le","sequence":"additional","affiliation":[{"name":"Department of Oncology Hanoi Medical University  Hanoi Vietnam"},{"name":"Oncology Center Hanoi Medical University Hospital  Hanoi Vietnam"},{"name":"Quan Su II Department 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