nodular goiter
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Robots Group: (1) Aged between 18-70 years old, male or female;Patients conforming to surgical indications of nodular goiter; (2) Patients without a history of neck surgery; (3) Women are not in pregnancy or lactation; (4) The neck and chest are well developed, and the operation space of the robot thyroid operation can be established well; (5) The diameter of the largest lump < 5cm; (6) Parathyroid hyperparathyroidism and parathyroid gland development were normal, and there was no significant variation in the position; (7) patients be able to tolerate surgery; (8) Struma without sternum; (9) Patients who signed the study's informed consent book. Open Group: (1) Aged between 18-70 years old, male or female;Patients conforming to surgical indications of nodular goiter; (2) Retrosternal struma; (3) A clinical symptom caused by pressure of the trachea, esophagus, or recurrent laryngeal nerve. (4) The patients with great goiter affects work and life; (5) Patients with hyperthyroidism secondary to nodular goiter, followed by strict preparation before hyperthyroidism; (6) A patient with a suspected malignant nodular goiter; (7) Patients with nodular goiter requiring traditional open surgery; (8) Patients who signed the study's informed consent book.
Exclusion criteria
Exclusion criteria: Robot Group: (1) Patients younger than 25 years old or more than 80 years old and refuse to perform surgical treatment and sign informed consent or informed consent; (2) Patients who do not meet the indications of nodular goiter; (3) Patients with a history of neck surgery or cervical radiotherapy; (4) Patients who refused to perform robotic thyroid surgery; (5) Women in pregnancy or lactation; (6) Patients with a short flat neck and a deformity of the thoracic cavity; (7) Substernal struma; (8) The diameter of the largest lump is >5 cm; (9) A patient with primary hyperparathyroidism; Location of the parathyroid gland outside the neck; (10) Patients who are intolerant of general anesthesia and surgery; (11) Diagnosis of other diseases of non nodular goiter by thyroid color Doppler ultrasound or diagnostic fine needle aspiration biopsy. Open Group: (1) Patients younger than 25 years old or more than 80 years old; patients who do not meet the indications of nodular goiter surgery; (2) A patient who refuses to undergo surgical treatment and refuses to sign an informed consent form or an informed consent; (3) A patient with a physiological goiter; (4) Patients who are intolerant of general anesthesia and surgery; (5) Patients with non nodular goiter with thyroid color Doppler ultrasound or diagnostic fine needle biopsy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperatively clinical outcome indicators;Postoperative complications;Markers of inflammat;Immunologic function indicators; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual analogue score of postoperative incision pain;NSS; | — |
Countries
China
Contacts
Lanzhou General Hospital of The Chinese People's Liberation Army