Evidence map›Paper›PMID 41920361›Full record

ArticleLangenbeck's archives of surgery2026

Comprehensive analysis of learning curve and surgical outcomes of endoscopic thyroidectomy for papillary thyroid carcinoma: a prospective study.

Yuqiu Zhou, Man Jiang, Yujin Zhang, Yongcong Cai, Dingfen Zeng, Wei Wang, Xing Li, Wenwei Deng, Ting Liu, Chao Li

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In one paragraph

Article in Langenbeck's archives of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yuqiu ZhouDepartment of Head and Neck Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, No.55,Section 4, South Renmin Road, Chengdu, China.
Man JiangDepartment of Head and Neck Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, No.55,Section 4, South Renmin Road, Chengdu, China.
Yujin ZhangHepatobiliary and Pancreatic Surgery Department, Sichuan Academy of Medical Science, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Yongcong CaiDepartment of Head and Neck Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, No.55,Section 4, South Renmin Road, Chengdu, China.
Dingfen ZengDepartment of Head and Neck Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, No.55,Section 4, South Renmin Road, Chengdu, China.
Wei WangDepartment of Head and Neck Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, No.55,Section 4, South Renmin Road, Chengdu, China.
Xing LiOperation Room, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, China.
Wenwei DengOperation Room, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, China.
Ting LiuOperation Room, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, China.
Chao LiDepartment of Head and Neck Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, No.55,Section 4, South Renmin Road, Chengdu, China. lichao@scszlyy.org.cn.

Funding

Sichuan Province Clinical Key Specialty Construction Project 2023GPWKP001Sichuan Provincial Health Commission Clinical Research Key Project 24LCYJZD06
6 · The paper itself

Abstract

backgroundEndoscopic thyroid cancer surgery has been widely carried out in the world, however, the learning curve of the technique is undetermined due to a lack of prospective and large sample-size studies. This study aims to prospectively evaluate the learning curve of endoscopic thyroidectomy in papillary carcinoma from multidimension and assess the outcomes. MATERIALS AND

methodsData from 351 consecutive patients who underwent gasless transaxillary endoscopic thyroidectomy (GTET) were collected. Cumulative sum (CUSUM) analysis was applied to identify the learning curve of the operation time, number of retrieved lymph node(LN) and weight of dissection lymphatic tissue (WDLT). The differences in surgical outcome, surgical trauma, parathyroid gland(PG) function protection and quality of life (QOL) between learning phases were analyzed.

resultsFemales predominated (86.7%) with a mean age of 34 years. Postoperative pathology in most cases was T1 (98.6%) and N0 (70.9%). The transition points of the operation time, space building time, thyroidectomy with central neck dissection time, and number of retrieved LN were 110, 133, 91 and 205 patients respectively. According to the CUSUM curves, there were 3 phases in the learning: phase 1 (patients 1-110), phase 2 (patients 111–205), and phase 3 (from patients 206). There were significant differences in operation time, blood loss, recovery, WDLT, PG function protection, surgical trauma and short-term QOL among the phases.

conclusionThe learning curve identified in our study was divided into 3 stages. We indicated that GTET is safe and feasible for indication-based selected patients.

Indexed as

EndoscopyPostoperative ComplicationsThyroid Cancer, PapillaryThyroidectomyThyroid NeoplasmsAdultBlood Loss, SurgicalFeasibility StudiesFemaleHumansLearning CurveLymph Node ExcisionLymph NodesMaleNeoplasm StagingOperative TimeEndoscopic thyroid surgeryLearning curveNeck dissectionPapillary thyroid carcinomaPostoperative complicationSurgical trauma

Identifiers

PMID41920361
PMCPMC13167826

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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.