{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:07:34Z","timestamp":1791986854028,"version":"4.4.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T00:00:00Z","timestamp":1768608000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Ningbo Public Welfare Science and Technology Project","award":["2022S051"],"award-info":[{"award-number":["2022S051"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"DOI":"10.1186\/s12893-025-03479-3","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T14:25:24Z","timestamp":1768659924000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Clinical efficacy of gasless trans-subclavian approach and trans-axillary approach endoscopic thyroidectomy for papillary thyroid carcinoma: a prospective randomized study"],"prefix":"10.1186","volume":"26","author":[{"given":"Mengsha","family":"Zou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiawei","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shang","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaoxiang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,17]]},"reference":[{"issue":"5","key":"3479_CR1","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1001\/jama.2023.26348","volume":"331","author":"L Boucai","year":"2024","unstructured":"Boucai L, Zafereo M, Cabanillas ME. Thyroid cancer: a review. JAMA. 2024;331(5):425\u201335.","journal-title":"JAMA"},{"issue":"5","key":"3479_CR2","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.1016\/j.surg.2021.08.054","volume":"171","author":"Y Zhang","year":"2022","unstructured":"Zhang Y, Wang K, Liu J, Xu S, Sun Y, Xu M, Wang X. Surgical management of parapharyngeal lymph node metastases from thyroid carcinoma with transcervical approach. Surgery. 2022;171(5):1233\u20139.","journal-title":"Surgery"},{"issue":"6","key":"3479_CR3","doi-asserted-by":"publisher","first-page":"1914","DOI":"10.1007\/s00464-013-3413-6","volume":"28","author":"K Hyun","year":"2014","unstructured":"Hyun K, Byon W, Park HJ, Park Y, Park C, Yun JS. Comparison of swallowing disorder following gasless transaxillary endoscopic thyroidectomy versus conventional open thyroidectomy. Surg Endosc. 2014;28(6):1914\u201320.","journal-title":"Surg Endosc"},{"issue":"1","key":"3479_CR4","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1007\/s00405-016-4242-8","volume":"274","author":"K Jantharapattana","year":"2017","unstructured":"Jantharapattana K, Maethasith J. Transaxillary gasless endoscopic thyroidectomy versus conventional open thyroidectomy: a randomized study. Eur Arch Otorhinolaryngol. 2017;274(1):495\u2013500.","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"4","key":"3479_CR5","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1089\/lap.2013.0459","volume":"24","author":"YB Ji","year":"2014","unstructured":"Ji YB, Song CM, Bang HS, Lee SH, Park YS, Tae K. Long-term cosmetic outcomes after robotic\/endoscopic thyroidectomy by a gasless unilateral axillo-breast or axillary approach. J Laparoendosc Adv Surg Tech A. 2014;24(4):248\u201353.","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"4","key":"3479_CR6","doi-asserted-by":"publisher","first-page":"1995","DOI":"10.1007\/s00464-024-10689-y","volume":"38","author":"T Xu","year":"2024","unstructured":"Xu T, Qin X, Zhang Y, Li P, Ran Y, Fan Y, Zheng X, Wei T. A prospective study comparing the gasless endoscopic thyroidectomy trans-axillary approach to conventional open thyroidectomy: health and quality of life outcomes. Surg Endosc. 2024;38(4):1995\u20132009.","journal-title":"Surg Endosc"},{"issue":"12","key":"3479_CR7","doi-asserted-by":"publisher","first-page":"9255","DOI":"10.1007\/s00464-023-10473-4","volume":"37","author":"JN Ge","year":"2023","unstructured":"Ge JN, Yu ST, Tan J, Sun BH, Wei ZG, Zhang ZC, Chen WS, Li TT, Lei ST. A propensity score matching analysis of gasless endoscopic transaxillary thyroidectomy with five-settlement technique versus conventional open thyroidectomy in patients with papillary thyroid microcarcinoma. Surg Endosc. 2023;37(12):9255\u201362.","journal-title":"Surg Endosc"},{"issue":"8","key":"3479_CR8","first-page":"686","volume":"59","author":"YQ Zhou","year":"2021","unstructured":"Zhou YQ, Li C, Cai YC, Jiang J, Sun RH, Zeng DF, Zheng WH, Wang W. [Posterior sternocleidomastoid border approach of gasless transaxillary endoscopic thyroidectomy in patients with papillary thyroid carcinoma: comparison with sternocleidomastoid fascia approach]. Zhonghua Wai Ke Za Zhi. 2021;59(8):686\u201390.","journal-title":"Zhonghua Wai Ke Za Zhi"},{"issue":"06","key":"3479_CR9","first-page":"691","volume":"42","author":"Z DG","year":"2022","unstructured":"DG Z, GF H, JJ JBL, XX C, JX L, Li J. Modified gasless trans-subclavi an approach endoscopic thyroidectomy for papillary thyroid carci noma: a series of 70 cases. Chin J Pract Surg. 2022;42(06):691\u20134.","journal-title":"Chin J Pract Surg"},{"key":"3479_CR10","doi-asserted-by":"crossref","unstructured":"Xia Y, Jian Guo Z, Mengting L, Shan W, Li W. Management of patients with cervicofacial edema and paresthesia during perioperative period of transoral endoscopic thyroidectomy. Comput Math Methods Med. 2022;2022:4775264.","DOI":"10.1155\/2022\/4775264"},{"key":"3479_CR11","doi-asserted-by":"crossref","unstructured":"Patorn P. Comparison of quality of life between patients undergoing submental endoscopic thyroidectomy and conventional thyroidectomy: a prospective controlled clinical trial. J Clin Med. 2022;11(16):4802.","DOI":"10.3390\/jcm11164802"},{"key":"3479_CR12","doi-asserted-by":"crossref","unstructured":"Botao S, Peiting L, Rong C, Di Z, Zeyu Z, Fada X, Xinying L. Gasless endoscopic transaxillary thyroid surgery: CUSUM analysis of a single surgeon\u2019s experience from 105 preliminary procedures. Surg Endosc. 2022;36(11):8270\u20139.","DOI":"10.1007\/s00464-022-09273-z"},{"key":"3479_CR13","doi-asserted-by":"crossref","unstructured":"Hau Xuan N, Long Thanh N, Hung Van N, Hien Xuan N, Huy Le T, Tuan Xuan N, Quang Van L. Comparison of transoral thyroidectomy vestibular approach and unilateral axillobreast approach for endoscopic thyroidectomy: a prospective cohort study. J Laparoendosc Adv Surg Tech A. 2021;31(1):11\u20137.","DOI":"10.1089\/lap.2020.0272"},{"key":"3479_CR14","doi-asserted-by":"crossref","unstructured":"Xiao-Wan B, Feng L, Song-Yuan Y, Wen-Wen Y, Xiao-Long L, Man H, Li-Li W, Zhu-Ying L, Li-Ping S, Hui-Xiong X. Comparison of efficacy, safety, and patient satisfaction between thermal ablation, conventional\/open thyroidectomy, and endoscopic thyroidectomy for symptomatic benign thyroid nodules. Int J Hyperth. 2022;39(1):379\u201389.","DOI":"10.1080\/02656736.2022.2040608"},{"key":"3479_CR15","doi-asserted-by":"crossref","unstructured":"Dongbo L, Weijian C, Guanyang C, Chen L, Dexiao D, Nengwei Z. Comparison between cutting versus retraction of anterior cervical musculature during endoscopic thyroidectomy. Medicine (Baltimore). 2022;101(46):e29673.","DOI":"10.1097\/MD.0000000000029673"},{"key":"3479_CR16","unstructured":"Xiaoyi Y, Chunfu Z, Wenze W, Xiang G, Yu D, Yuan L. Transoral endoscopic thyroidectomy vestibular approach for papillary thyroid microcarcinoma: an analysis of clinical outcomes. Am J Transl Res. 2022;14(11):7907\u201315."},{"issue":"1","key":"3479_CR17","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1016\/j.ecl.2018.11.003","volume":"48","author":"BR Roman","year":"2019","unstructured":"Roman BR, Randolph GW, Kamani D. Conventional thyroidectomy in the treatment of primary thyroid cancer. Endocrinol Metab Clin North Am. 2019;48(1):125\u201341.","journal-title":"Endocrinol Metab Clin North Am"},{"issue":"12","key":"3479_CR18","doi-asserted-by":"publisher","first-page":"3869","DOI":"10.1245\/s10434-013-3163-7","volume":"20","author":"SP Jung","year":"2013","unstructured":"Jung SP, Kim SH, Bae SY, Lee SK, Kim S, Choi MY, Kim J, Kim M, Kil WH, Choe JH, et al. A new subfascial approach in open thyroidectomy: efficacy for postoperative voice, sensory, and swallowing symptoms. A randomized controlled study. Ann Surg Oncol. 2013;20(12):3869\u201376.","journal-title":"Ann Surg Oncol"},{"issue":"6","key":"3479_CR19","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1067\/msy.2001.118264","volume":"130","author":"P Miccoli","year":"2001","unstructured":"Miccoli P, Berti P, Raffaelli M, Materazzi G, Baldacci S, Rossi G. Comparison between minimally invasive video-assisted thyroidectomy and conventional thyroidectomy: a prospective randomized study. Surgery. 2001;130(6):1039\u201343.","journal-title":"Surgery"},{"issue":"1","key":"3479_CR20","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1007\/s13304-024-01948-7","volume":"77","author":"J Jiang","year":"2025","unstructured":"Jiang J, He G, Chu J, Li J, Lu X, Jiang X, Gao L, Zhang D. Single-incision gasless trans-subclavian endoscopic approach thyroidectomy. Updates Surg. 2025;77(1):175\u201382.","journal-title":"Updates Surg"},{"issue":"1","key":"3479_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.21053\/ceo.2018.00766","volume":"12","author":"K Tae","year":"2019","unstructured":"Tae K, Ji YB, Song CM, Ryu J. Robotic and endoscopic thyroid surgery: evolution and advances. Clin Exp Otorhinolaryngol. 2019;12(1):1\u201311.","journal-title":"Clin Exp Otorhinolaryngol"},{"issue":"8","key":"3479_CR22","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1038\/s41580-024-00715-1","volume":"25","author":"OA Pe\u00f1a","year":"2024","unstructured":"Pe\u00f1a OA, Martin P. Cellular and molecular mechanisms of skin wound healing. Nat Rev Mol Cell Biol. 2024;25(8):599\u2013616.","journal-title":"Nat Rev Mol Cell Biol"},{"issue":"1","key":"3479_CR23","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1007\/s00464-019-06762-6","volume":"34","author":"H Sun","year":"2020","unstructured":"Sun H, Zheng H, Wang X, Zeng Q, Wang P, Wang Y. Comparison of transoral endoscopic thyroidectomy vestibular approach, total endoscopic thyroidectomy via areola approach, and conventional open thyroidectomy: a retrospective analysis of safety, trauma, and feasibility of central neck dissection in the treatment of papillary thyroid carcinoma. Surg Endosc. 2020;34(1):268\u201374.","journal-title":"Surg Endosc"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-025-03479-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03479-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-025-03479-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T18:53:07Z","timestamp":1770835987000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12893-025-03479-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,17]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3479"],"URL":"https:\/\/doi.org\/10.1186\/s12893-025-03479-3","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,17]]},"assertion":[{"value":"18 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The research has been carried out in accordance with the World Medical Association Declaration of Helsinki, and approved by the Medical Ethics Committee of Ningbo Lihuili Hospital (Approval No.: Li Huili Hospital Ethics Review 2023\u2009\u2212\u2009362). All participants provided written informed consent prior to enrollment.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"129"}}