{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T05:00:15Z","timestamp":1784264415085,"version":"3.55.0"},"reference-count":53,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004735","name":"Hunan Provincial Natural Science Foundation of China","doi-asserted-by":"crossref","award":["2023JJ40419"],"award-info":[{"award-number":["2023JJ40419"]}],"id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004735","name":"Hunan Provincial Natural Science Foundation of China","doi-asserted-by":"crossref","award":["2023JJ60331"],"award-info":[{"award-number":["2023JJ60331"]}],"id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Hunan Cancer Hospital Climb Plan","award":["2020NSFC-B007"],"award-info":[{"award-number":["2020NSFC-B007"]}]},{"name":"Hunan Cancer Hospital Climb Plan","award":["ZX2020002"],"award-info":[{"award-number":["ZX2020002"]}]},{"name":"Hunan Cancer Hospital Climb Plan","award":["ZX2021004"],"award-info":[{"award-number":["ZX2021004"]}]},{"name":"Changsha Municipal Natural Science Foundation","award":["kq2208153"],"award-info":[{"award-number":["kq2208153"]}]},{"name":"Scientific Research Project of Hunan Provincial Health Commission","award":["202204015634"],"award-info":[{"award-number":["202204015634"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>With advancements in robotic surgery, robotic-assisted thyroidectomy is gaining popularity. The introduction of the 3-port transoral robotic thyroidectomy (T-TORT) offers an alternative approach with potential benefits in postoperative recovery compared to traditional methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the safety and feasibility of T-TORT in comparison to the transoral endoscopic thyroidectomy vestibular approach (TOETVA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective cohort study with 1:1 propensity score matching was conducted to compare perioperative outcomes between T-TORT and TOETVA. The learning curve was analyzed using cumulative summation (CUSUM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary A hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>One hundred sixty-two patients who underwent either T-TORT or TOETVA were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention or Exposures<\/jats:title>\n                    <jats:p>The T-TORT group underwent three-port robotic thyroidectomy, while the TOETVA group received standard transoral vestibular endoscopic thyroidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>Demographics and perioperative data were compared. The learning curve was evaluated using CUSUM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with the TOETVA group the operation time in minutes of the T-TORT group was relatively longer (136.14\u2009\u00b1\u200936.52 vs 122.49\u2009\u00b1\u200934.85, P\u2009=\u2009.012), the postoperative stay, in days, was shorter (2.77\u2009\u00b1\u20090.78 vs 3.51\u2009\u00b1\u20090.95, P\u2009&lt;\u2009.001), the drainage volume on a postoperative day 1 (POD1) and POD2, in milliliter, was less (POD1 56.57\u2009\u00b1\u200923.29 vs 65.12\u2009\u00b1\u200926.04, P\u2009=\u2009.029 and POD2 27.43\u2009\u00b1\u200925.29 vs 38.21\u2009\u00b1\u200925.09, P\u2009=\u2009.008). The other statistics, including bleeding amount, retrieved and metastatic central lymph nodes, visual analog scale score, and drainage volume on an operative day were comparable between the 2 groups. Meanwhile, there were no significant differences between the 2 groups in postoperative complication rates. The turning point of the learning curve was in the 16th case with a hemithyroidectomy with central neck dissection (CND) and the 21st case with a bilateral thyroidectomy with CND.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>T-TORT is a safe and feasible option with enhanced postoperative recovery compared to TOETVA. It may be a preferable choice in specific clinical situations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>This study was registered at the Chinese Clinical Trial Registry (UIN: ChiCTR2300069021, https:\/\/www.chictr.org.cn ) in accordance with the World Medical Association\u2019s Declaration of Helsinki, 2013.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19160216241304384","type":"journal-article","created":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T01:29:22Z","timestamp":1735003762000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["\u201cThree-in-One Wonder\u201d: A Retrospective Cohort Study on Modified Robotic-Assisted Transoral Thyroidectomy"],"prefix":"10.1177","volume":"53","author":[{"given":"Xiaoyong","family":"Wen","sequence":"first","affiliation":[{"name":"Department of Thyroid Surgery, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University\/Hunan Cancer Hospital, Changsha, Hunan, P. R. China"},{"name":"Department of Thyroid Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiwei","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Thyroid Surgery, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University\/Hunan Cancer Hospital, Changsha, Hunan, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Thyroid Surgery, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University\/Hunan Cancer Hospital, Changsha, Hunan, P. R. 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