Thyroid carcinoma
Conditions
Interventions
Experimental group:Autofluorescence and indocyanine green imaging were used to identify and protect parathyroid glands during robotic thyroid surgery.
Control group:Conventional naked-eye identification was used to identify and protect parathyroid glands during robotic thyroid surgery.
Sponsors
The 960th Hospital of the Joint Support Force of the People's Liberation Army of China
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 75 years, able to understand and sign the informed consent form. 2. Patients undergoing initial surgery with suspected thyroid cancer indicated by neck ultrasound, computed tomography (CT), and fine-needle aspiration cytology (FNAC). 3. Preoperative parathyroid hormone (PTH)and serum calcium levels within normal ranges. 4. Scheduled to undergo robotic total thyroidectomy with unilateral or bilateral central lymph node dissection. 5. Complete clinical data available.
Exclusion criteria
Exclusion criteria: 1. Inability to sign the informed consent form. 2. History of previous neck surgery. 3. Patients with unilateral thyroid cancer undergoing unilateral lobectomy. 4. Patients with hyperparathyroidism or concomitant parathyroid tumors. 5. Patients with thyroid tumors invading surrounding organs and tissues (e.g., trachea, esophagus) indicated by auxiliary examinations, in whom radical resection cannot be achieved surgically. 6. Patients with severe hepatic or renal insufficiency, coagulation disorders, or other diseases that preclude tolerance to surgery, as well as those with contraindications to iodine-related contrast agents.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of parathyroid glands identified intraoperatively;Serum parathyroid hormone (PTH) level on postoperative day 1;Serum calcium (Ca) level on postoperative day 1; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operation duration;Postoperative complications; | — |
Countries
China
Contacts
Public ContactHe Qingqing
The 960th Hospital of the Joint Support Force of the People's Liberation Army of China
Outcome results
None listed