Central Compartment Neck Dissction, Thyroid Cancer, Thyroidectomy
Conditions
Brief summary
In accordance with the current guidelines,papillary thyroid microcarcinoma such as turmo invasive nerve or trachea, requires total thyroidectomy for follow-up iodine-131 treatment.In the course of clinical work, if the patient can achieve R0 resection, most of the patients do not need iodine-131 treatment,Therefore, there is no need to continue total thyroidectomy.To evaluate the practicable, thoroughness and Clinical value of bilateral central compartment dissection while preserve contrary thyroid glands.
Detailed description
In accordance with the current guidelines,papillary thyroid microcarcinoma such as turmo invasive nerve or trachea, requires total thyroidectomy for follow-up iodine-131 treatment.In the course of clinical work, if the patient can achieve R0 resection, most of the patients do not need iodine-131 treatment,Therefore, there is no need to continue total thyroidectomy.This study assesses new procedures by adjusting the sequence of procedures. complications and the thoroughness of the operation were evaluated, thus Clinical value of bilateral central compartment dissection with preserve contrary thyroid glands were ananlyed.
Interventions
Conventional operation ,Thyroidectomy was performed first, and central compartment dissection was performed. This is a routine procedure
central neck dissection first ,after FNA confirmed of thyroid carcinoma, the central compartment neck dissection was carried out before thyroidectomy , finally complement of central compartment neck dissection.
Sponsors
Study design
Eligibility
Inclusion criteria
Tumor diameter less than 1cm The tumor is located in the lower part of the gland No lateral cervical lymph node metastases Traditional open surgery
Exclusion criteria
Select the endoscopic surgery or robotic surgery patients Tumor invades the surrounding trachea and esophagus Patients refused to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of the lymph node | 2 day post operation | the number of the lymph node |
| number of postive lymph node | 2 day post operation | The number of postive lymph node |
| The weight of the central compartment tissue. | introoperation | The weight of the central compartment tissue. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| thyroid volume | The day before the operation | thyroid volume |
| recurrent laryngeal nerve palsy | 1 day ,2weeks,3months,6months post operation | the number of recurrent laryngeal nerve palsy |
Countries
China