Thyroid Cancer
Conditions
Keywords
Thyroid Cancer, Endoscopic surgery, Open surgery, Radical thyroidectomy
Brief summary
Recently, endoscopic thyroidectomy using gasless unilateral transaxillary approach has been proven feasible and safe in several Chinese medical centers. This study is aimed to compare multi-institutional Chinese outcomes of endoscopic thyroidectomy using gasless unilateral transaxillary approach and conventional open surgery.
Detailed description
Most patients with thyroid tumors are effectively treated surgically by practitioners experienced in the techniques of thyroidectomy. Many patients, especially women, undergoing thyroid surgery are concerned about the postoperative cosmetic appearance of the neck. Endoscopic thyroidectomy using gasless unilateral transaxillary approach which can hide the operative scar was associated with a higher degree of patient cosmetic satisfaction. Recently, endoscopic thyroidectomy using gasless unilateral transaxillary approach has been proven feasible and safe in several Chinese medical centers. In this study, we designed a prospective study comparing multi-institutional Chinese outcomes of endoscopic thyroidectomy using gasless unilateral transaxillary approach and conventional open surgery.
Interventions
PROCEDUREEndoscopic surgery;
Endoscopic thyroidectomy group is the papillary thyroid carcinoma patient group who underwent endoscopic thyroid surgery using a gasless, trans-axillary approach.
Sponsors
Zhejiang Provincial People's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Single (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years; * The pathological type is papillary thyroid carcinoma; * Tumor diameter \<2 cm； * No extraglandular invasion, or minimal extrathyroidal extension invading only anterior thyroid capsule or sternothyoid muscle； * cN0 or cN+ without fusion and fixation of metastatic lymph nodes； * no obvious contraindication for thyroidectomy ; * Good comply with the research visit plan and other program requirements; * Ability to understand and the willingness to sign a written informed consent document.
Exclusion criteria
* patients with severe systemic diseases who can not tolerate general anesthesia or routine surgical posture; * previous history of neck surgery, radiotherapy or thermal ablation; * hyperthyroidism and substernal goiter; * dedifferentiated thyroid carcinoma； * accompanied with severe thyroiditis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of retrieved central lymph nodes | 1 month after operation | The number of central lymph nodes removed during the operation |
Contacts
Primary ContactMinghua Ge, Doctor
Outcome results
None listed