Thyroid Carcinoma, Robot Surgery, Endoscopic Surgery
Conditions
Keywords
Thyroid carcinoma, Robot surgery, Endoscopic surgery
Brief summary
Objective to compare the advantages and disadvantages of robotic and conventional endoscopic thyroidectomy for thyroid cancer.
Detailed description
To compare the difference of operative time and complication between two operative methods in robot neck surgery and routine endoscopic surgery.
Interventions
Robot lateral neck lymph node dissection
Total endoscopic lateral cervical lymph node dissection
Sponsors
Study design
Eligibility
Inclusion criteria
1. papillary thyroid carcinoma with clinically suspected or confirmed lateral lymph node metastasis; 2. patient's concerns of neck scars and cosmetic requirement. The
Exclusion criteria
were as follows: 1\) tumor size \>4cm; 2) previous neck surgical history; 3)residual or recurrent tumors; 4) suspicious primary tumor or metastatic lymph node invasion of major vascular structures or recurrent laryngeal nerve. 5)metastatic lymph nodes occurred below the sternoclavicular joint.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lateral cervical lymph node cleaning time | During surgery | Lateral cervical lymph node clean time from that beginning of cut the SCM leading edge to the end of the specimen |
| Accessory nerve injury | During surgery | Accessory nerve injury |
| Intraoperative internal jugular vein bleeding. | 6 months after surgery | Internal carotid vein hemorrhage affect that surgical procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The time of the thyroid gland removal | During surgery | The time of the thyroid gland removal , including the opening of the white line to the thyroid, and the end of the specimen |
| Number of participants with HypoParathyroidism | 6 months after surgery | The parathyroid function was examined six months after surgery. |
| Recurrent laryngeal nerve injury. | 6 months after surgery | The recurrent laryngeal nerve function due to nerve injury or thermal damage can not be recovered for 6 months. |
Countries
China