{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:38:04Z","timestamp":1787841484102,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>For most primary substernal goitre (SG) surgeries, sternotomy is required because the blood supply vessels of tumours come from the mediastinum. However, sternal dehiscence may lead to several surgical complications. We reported an older patient who underwent simultaneous removal of a primary SG and parathyroid adenoma through a gasless transoral endoscopic approach. The patient recovered well with no hoarseness, post-operative bleeding or other complications after the operation. To the best of our knowledge, this is the first reported case of gasless transoral endoscopic parathyroid adenoma and primary SG resection in the real world. We found that gasless transoral endoscopic surgery is feasible in patients with small primary SG and parathyroid adenoma.<\/jats:p>","DOI":"10.4103\/jmas.jmas_30_23","type":"journal-article","created":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T19:00:40Z","timestamp":1721847640000},"page":"349-352","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Gasless transoral endoscopic thyroidectomy in a primary substernal goitre patient: First case"],"prefix":"10.4103","volume":"20","author":[{"given":"Jing","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery, Division of Life Sciences and Medicine, West District of The First Affiliated Hospital of University of Science and Technology of China, University of Science and Technology of China, Hefei, 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