Evidence map›Paper›PMID 40590963›Full record

ArticleLangenbeck's archives of surgery2025

Comparison of the surgical outcomes of endoscopic thyroidectomy via a contralateral-axillo-bilateral-breast approach and open thyroidectomy.

Huaiyu Weng, Wangwang Qiu, Ting Yan, Yufan Tang, Ziyi Chen, Bomin Guo, XinYu Huang, Youben Fan, Zhili Yang

Abstract readComparative Study
In one paragraph

Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Huaiyu Weng *Department of Thyroid, Parathyroid, Breast and Hernia Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, No. 600, Yishan Road, Xuhui District, Shanghai, 200233, China.
Wangwang Qiu *Department of Thyroid, Parathyroid, Breast and Hernia Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, No. 600, Yishan Road, Xuhui District, Shanghai, 200233, China.
Ting YanDepartment of Thyroid, Parathyroid, Breast and Hernia Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, No. 600, Yishan Road, Xuhui District, Shanghai, 200233, China.
Yufan TangDepartment of Thyroid, Parathyroid, Breast and Hernia Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, No. 600, Yishan Road, Xuhui District, Shanghai, 200233, China.
Ziyi ChenDepartment of Thyroid, Parathyroid, Breast and Hernia Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, No. 600, Yishan Road, Xuhui District, Shanghai, 200233, China.
Bomin GuoDepartment of Thyroid, Parathyroid, Breast and Hernia Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, No. 600, Yishan Road, Xuhui District, Shanghai, 200233, China.
XinYu HuangDepartment of Hepatobiliary and Pancreatic Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai, 200233, China.
Youben FanDepartment of Thyroid, Parathyroid, Breast and Hernia Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, No. 600, Yishan Road, Xuhui District, Shanghai, 200233, China. fanyouben2006@163.com.
Zhili YangDepartment of Thyroid, Parathyroid, Breast and Hernia Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, No. 600, Yishan Road, Xuhui District, Shanghai, 200233, China. yangzhililaoshi@126.com.

Funding

the Project from Shanghai Sixth People's Hospital YNLC201905
6 · The paper itself

Abstract

backgroundEndoscopic thyroidectomy via extracervical approaches has been developed to avoid anterior neck surgical scars. However, each approach has its own limitations. We developed a novel endoscopic thyroidectomy via the contralateral-axillo-bilateral-breast approach (CABBA-ET) and compared the surgical outcomes with those of open thyroidectomy (OT).

methodsWe retrospectively reviewed patients who underwent thyroidectomy by the same surgeon between January 2021 and December 2023 at our institution. The surgical outcomes and postoperative complications of CABBA-ET and OT were compared after propensity score matching (PSM) of the clinicopathologic characteristics.

resultsA total of 433 patients who underwent CABBA-ET or OT were enrolled in this study, of whom 83 underwent CABBA-ET, and the remaining 350 underwent OT. After PSM, 16 pairs of patients with benign thyroid nodules and 56 pairs of patients with differentiated thyroid carcinoma (DTC) were matched between the CABBA-ET and OT groups. Compared with the OT group, patients with benign nodules and DTC in the CABBA-ET group had a longer operation time (both P < 0.01) and a higher 24-h postoperative drainage volume (P = 0.03 and < 0.01). The length of hospitalization was comparable between the two groups, and there were no significant differences in postoperative complications.

conclusionsCABBA-ET is a viable cosmetic procedure and may represent an alternative for selective patients.

Indexed as

EndoscopyThyroidectomyThyroid NeoplasmsThyroid NoduleAdultAxillaBreastFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsPropensity ScoreRetrospective StudiesContralateral-axillo-bilateral-breast approachEndoscopic thyroidectomyOpen thyroidectomyPropensity score matchingSurgical outcomes

Identifiers

PMID40590963
PMCPMC12214002

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.