ReviewSurgery today2020
Video-assisted neck surgery (VANS) using a gasless lifting procedure for thyroid and parathyroid diseases: "The VANS method from A to Z".
Review in Surgery today, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 19 citations in OpenAlex.
- Gasless endoscopic thyroidectomyFrontiers in endocrinology · 2022Trial
- Endoscopic detection of near-infrared autofluorescence in the parathyroid glands: a case report of two patients.Annals of medicine and surgery (2012) · 2026Article
- [Comparative study of the efficacy of subclavian space endoscopic approach and anterior cervical open surgery for the treatment of hyperparathyroidism].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026Article
- Single-incision gasless trans-subclavian endoscopic approach thyroidectomy.Updates in surgery · 2025Article
- Anatomical recognition artificial intelligence for identifying the recurrent laryngeal nerve during endoscopic thyroid surgery: A single-center feasibility study.Laryngoscope investigative otolaryngology · 2024Article
- Definition of learning curve for thyroidectomy: systematic review on the different approaches.Gland surgery · 2023Review
- Lateral approach contributes to shortened surgical time in video-assisted neck surgery (VANS) for thyroid nodule.Surgery open science · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo describe and evaluate our video-assisted neck surgery (VANS) method for thyroid and parathyroid diseases.
methodsWe describe in detail the VANS method for enucleation, lobectomy, total (nearly total) thyroidectomy, and lymph node dissection for malignancy and Graves' disease. In collaboration with the Japan Society of Endoscopic Surgery (JSES), we evaluated several aspects of this method. The JSES evaluated the method for working-space formation and surgical complications, whereas we examined the learning curve of the surgeons, and the cosmetic satisfaction of the patients and the degree of numbness and pain they experienced. We also asked patients who underwent conventional surgery whether they would have selected VANS had it been available.
resultsThe working space for 81.5% of the procedures in Japan was created using the gasless lifting method. The learning curve, considering both blood loss and operating time, decreased after 30 cases. Both factors improved for tumors smaller than 5 cm in diameter. Over 60% of the patients who underwent conventional surgery stated that they would have selected VANS, had it been available. Postoperative pain was worse after conventional surgery than after VANS, but neck numbness after VANS was more frequent than expected.
conclusionsThe VANS method is a feasible, safe, and cost-effective procedure with clear cosmetic advantages over conventional surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.