{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T15:10:17Z","timestamp":1783091417782,"version":"3.54.6"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T00:00:00Z","timestamp":1681862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Transaxillary gasless endoscopic thyroidectomy (TGET) is a widely performed operation, but its side view angle and instrument interference have caused concerns for most surgical groups. The aim of this study was to introduce scene-guided camera assistance (SGA) and analyze its role in facilitating TGET.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We put forward key points for camera holders, including one pivot, two positions, and three planes, and separated TGET operations into five parts. We also established the view angle for each part of the operation for the camera holder to follow. Then, we reviewed 416 patients who underwent TGET with or without SGA and analyzed their demographic characteristics, operative outcomes, pathologic outcomes, and early complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The TGET and TGET-SGA groups were similar in terms of age, sex ratio, height, weight, tumor size, Hashimoto\u2019s thyroiditis ratio, and cN1 ratio. The operation time and postoperative hospital stay were significantly longer in the TGET group than in the TGET-SGA group (114.43 \u00b1 17.20 minutes vs. 101.82 \u00b1 19.39 minutes and 3.16 \u00b1 0.77 days vs. 2.16 \u00b1 0.55 days, respectively, <jats:italic>P &amp;lt; 0.001<\/jats:italic>). The account of retrieved lymph nodes was less in the TGET group than in the TGET-SGA group (5.61 \u00b1 4.27 vs. 6.57 \u00b1 4.96, <jats:italic>P = 0.038<\/jats:italic>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SGA provided guidance for camera holders, and the data showed that it was an improvement for TGET operations.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fendo.2023.1146336","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T05:12:08Z","timestamp":1681881128000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Analysis of scene-guided camera assistance in transaxillary gasless endoscopic thyroidectomy: a minor improvement in operative technique"],"prefix":"10.3389","volume":"14","author":[{"given":"Baihui","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shitong","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junna","family":"Ge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhicheng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weisheng","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhigang","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shangtong","family":"Lei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,4,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1038\/s41574-019-0263-x","article-title":"Geographic influences in the global rise of thyroid cancer","volume":"16","author":"Kim","year":"2020","journal-title":"Nat Rev Endocrinol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"149","DOI":"10.3342\/ceo.2015.8.2.149","article-title":"Nationwide multicenter survey for current status of endoscopic thyroidectomy in Korea","volume":"8","author":"Park","year":"2015","journal-title":"Clin Exp Otorhinolaryngol"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2021.719397","article-title":"Outcomes of minimally invasive thyroid surgery \u2013 a systematic review and meta-analysis","volume":"12","author":"de Vries","year":"2021","journal-title":"Front Endocrinol"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.4766","article-title":"Comparison of quality of life and cosmetic result between open and transaxillary endoscopic thyroid lobectomy for papillary thyroid microcarcinoma survivors: a single-center prospective cohort 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inwazyjne"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07721-2","article-title":"Comparison of long-term surgical outcome between transaxillary endoscopic and conventional open thyroidectomy in patients with differentiated thyroid carcinoma: a propensity score matching study","volume":"35","author":"Kim","year":"2021","journal-title":"Surg Endosc"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2019.02.012","article-title":"Detailed comparison of robotic and endoscopic transaxillary thyroidectomy","volume":"43","author":"Chang","year":"2020","journal-title":"Asian J Surg"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-06935-x","article-title":"A third hand to the surgeon: the use of an endoscope holding arm in endonasal sinus surgery and well beyond","volume":"279","author":"Hintschich","year":"2022","journal-title":"Eur Arch Otorhinolaryngol"}],"container-title":["Frontiers in Endocrinology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fendo.2023.1146336\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T05:12:11Z","timestamp":1681881131000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fendo.2023.1146336\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,19]]},"references-count":10,"alternative-id":["10.3389\/fendo.2023.1146336"],"URL":"https:\/\/doi.org\/10.3389\/fendo.2023.1146336","relation":{},"ISSN":["1664-2392"],"issn-type":[{"value":"1664-2392","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,19]]},"article-number":"1146336"}}