ArticleAmerican journal of translational research2025
A comparative study on the clinical efficacy and safety of conventional open thyroidectomy and bilateral areolar approach thyroidectomy.
Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
- The clinical value and learning curve analysis of the modified areolar approach for endoscopic thyroidectomy.Surgical endoscopy · 2026Article
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Authors and funding
5 authors.
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Abstract
objectiveTo compare the clinical outcomes and safety profiles of conventional open thyroidectomy and bilateral areolar approach thyroidectomy.
methodsA total of 72 patients who underwent endoscopic thyroidectomy at Ruijin Hospital, Shanghai Jiao Tong University School of Medicine between August 2021 and March 2024 were retrospectively included as the endoscopic group (EG). Sixty-five patients who underwent conventional open thyroidectomy during the same period served as the control group (CG). Baseline characteristics, intraoperative parameters, postoperative outcomes, pain levels, incidence of postoperative complications, and three-month Numerical Scoring System (NSS) aesthetic scores were compared between the two groups.
resultsCompared to the CG, the EG had a longer operative time but experienced less intraoperative blood loss and a shorter hospital stay (both P < 0.05). Postoperative white blood cell counts and C-reactive protein levels were significantly lower in the EG (both P < 0.05). Visual Analogue Scale scores on postoperative days 1, 2, and 3 were also significantly lower in the EG (all P < 0.05). The incidence of complications was lower in the EG than in the CG (P < 0.05). At the three-month follow-up, the EG demonstrated significantly higher NSS aesthetic scores compared to the CG (P < 0.05). Multivariable analysis identified age ≥ 50 years, open surgery, operative time ≥ 130 minutes, and intraoperative blood loss ≥ 60 mL as independent risk factors for postoperative complications (all P < 0.05).
conclusionBilateral areolar approach thyroidectomy offers advantages over conventional open thyroidectomy, including reduced tissue trauma, faster postoperative recovery, lower pain levels, a reduced incidence of complications, and superior short-term aesthetic satisfaction.
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