{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T09:38:30Z","timestamp":1785317910820,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:00:00Z","timestamp":1707177600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Thyroid Research"],"published-print":{"date-parts":[[2024,2,6]]},"abstract":"<jats:p>Background. Several minimal access approaches to the thyroid gland have been widely applied; nevertheless, such approaches are still challenging when dealing with large-sized thyroid nodules or goiters. We hereby evaluated the outcomes and highlighted the merits of endoscopic axillo-breast hemithyroidectomy (EABH) for large-sized unilateral goiters. Methods. Patients underwent EABH for unilateral large thyroid nodules \u22656\u2009cm in its greatest dimension or unilateral large goiter (\u226560\u2009ml sonographic volume) whatever the size of its contained nodules were identified from a prospectively maintained database. Their demographic data, clinicopathological profiles, and surgical and esthetic outcomes are reported and analyzed. Results. Over a 2-year period, 33 patients matched the selection criteria. Their mean age was 34.75\u2009\u00b1\u200911.39\u2009years. There were 30 women and 3 men. The majority of nodules were radiologically TIRADS3 and cytologically Bethesda 3. The mean sonographic dominant nodule greatest dimension was 5.29\u2009\u00b1\u20091.48\u2009cm (range: 3\u20139.5\u2009cm). The mean sonographic volume of the pathological lobe was 101.86\u2009\u00b1\u200954.45\u2009ml (range: 60.11\u2013236.88\u2009ml). All cases were completed endoscopically with no conversion to open. The mean operative time was 110.76\u2009\u00b1\u200918.75\u2009minutes. No significant postoperative complications were reported except for one case with temporary vocal cord paresis. Most (87.9%) of the patients were extremely satisfied with the procedure. Conclusion. EABH with our suggested key steps could be considered an effective valid approach for unilateral large goiters in trained hands and in patients desirous for cosmesis.<\/jats:p>","DOI":"10.1155\/2024\/9487076","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T17:38:13Z","timestamp":1707241093000},"page":"1-9","source":"Crossref","is-referenced-by-count":3,"title":["Endoscopic Thyroidectomy for Large-Sized Goiters: Merits of the Axillo-Breast Approach with Gas Insufflation"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2139-4451","authenticated-orcid":true,"given":"Islam A.","family":"Elzahaby","sequence":"first","affiliation":[{"name":"Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7180-7958","authenticated-orcid":true,"given":"Essam Attia","family":"Ali","sequence":"additional","affiliation":[{"name":"Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6990-0985","authenticated-orcid":true,"given":"Ahmed Mohammed","family":"Farid","sequence":"additional","affiliation":[{"name":"Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5249-5576","authenticated-orcid":true,"given":"Mohamed Abd El","family":"Ghaffar Saleh","sequence":"additional","affiliation":[{"name":"Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7665-8621","authenticated-orcid":true,"given":"Ahmed","family":"Abdallah","sequence":"additional","affiliation":[{"name":"Mansoura University, Mansoura, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/s40137-012-0003-9"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-008-9834-z"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000582"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/4057542"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e31817fd99f"},{"key":"6","article-title":"Robot-assisted transaxillary hemi-thyroidectomy for large right side goiter","volume":"25","author":"P. C. Giulianotti","year":"2011","journal-title":"Surgical Endoscopy and Other Interventional Techniques"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-015-1330-8"},{"issue":"6","key":"8","first-page":"2035","article-title":"A huge retrosternal goiter resected through transaxillar approach by robotic assisted surgery","volume":"6","author":"N. Esmat","year":"2021","journal-title":"Annals of Clinical Case Reports"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-020-02267-y"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-023-06977-8"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4676-x"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.4103\/trp.trp_66_20"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2023.06.024"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-4361-7"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5594-x"},{"issue":"2","key":"16","first-page":"206","article-title":"Endoscopic transaxillary near total thyroidectomy","volume":"10","author":"T. D. Duncan","year":"2006","journal-title":"Journal of the Society of Laparoendoscopic Surgeons"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.21037\/gs-21-257"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08540-9"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.2147\/TCRM.S183612"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1100\/2012\/456807"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1007\/s004640080197"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.38.7.5826"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1177\/15533506211057633"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-011-1232-2"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-002-6627-7"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-004-7655-2"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-7-2"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.4103\/0972-9941.37191"}],"container-title":["Journal of Thyroid Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jtr\/2024\/9487076.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jtr\/2024\/9487076.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jtr\/2024\/9487076.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T17:38:17Z","timestamp":1707241097000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/jtr\/2024\/9487076\/"}},"subtitle":[],"editor":[{"given":"Anjali","family":"Mishra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,2,6]]},"references-count":28,"alternative-id":["9487076","9487076"],"URL":"https:\/\/doi.org\/10.1155\/2024\/9487076","relation":{},"ISSN":["2042-0072","2090-8067"],"issn-type":[{"value":"2042-0072","type":"electronic"},{"value":"2090-8067","type":"print"}],"subject":[],"published":{"date-parts":[[2024,2,6]]}}}