{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:32:55Z","timestamp":1787758375904,"version":"build-2784847793"},"reference-count":36,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Scarless endoscopic thyroidectomy (ET) is increasingly accepted by the growing amount of surgeons. The target of this study is to assess the efficacy and summarise the experiences of total areola approach for ET (TAAET).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>TAAET was performed on 529 patients between January 2016 and October 2021. All operated patients were divided into two groups according to the chronological order. Demographic data, perioperative data and post-operative complications were collected to assess the effectiveness of TAAET.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Five hundred and twenty-eight patients were successfully treated with TAAET, while 1 case was converted to open surgery due to bleeding. The surgical approach consists of lobectomy or total thyroidectomy with or without central lymph node dissection. The post-operative pathology of 433 (81.9%) patients was diagnosed with T1 ~2N0M0. The average number of unilateral lymph node dissection was 7.72 \u00b1 2.44 while the bilateral lymph node was 10.70 \u00b1 3.72. In terms of complications, 38 cases had transient hoarseness, 28 cases had tetany and numbness, 3 cases had post-operative bleeding, 1 case had infection and 33 cases had subcutaneous fluid. There were statistically significant differences between the two groups with respect to transient hoarseness (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), tetany and numbness (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.005), intraoperative blood loss (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003) and operation time for malignant tumour (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) because of the accumulation of surgical experience and the maturation of technology.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>TAAET which conforms to the anatomical pathway of open thyroidectomy is a safe, effective and feasible technique and is highly suitable for novices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_359_21","type":"journal-article","created":{"date-parts":[[2022,9,25]],"date-time":"2022-09-25T06:08:38Z","timestamp":1664086118000},"page":"42-50","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Total areola approach for endoscopic thyroidectomy: Six years of experience with the same surgeon"],"prefix":"10.4103","volume":"19","author":[{"given":"Junxiao","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Thyroid and Breast Surgery, The Second Hospital of Sanming, Sanming City, Fujian Province, China"},{"name":"Department of General Surgery, The Fifth Clinical Medical College of Fujian University of Traditional Chinese Medicine, Sanming City, Fujian Province, 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