Pain, Postoperative, Surgery, Thyroid Diseases
Conditions
Keywords
Lateral neck dissection, Robotic thyroid surgery, Minimally invasive surgery
Brief summary
Postoperative pain is a good indicator to confirm the advantages of the surgical methods in the era of minimally invasive surgery. Lateral neck dissection requires extensive dissection which may leads to postoperative numbness and pain. Robotic thyroid surgery has the advantage of precise and careful dissection and avoid the L-shape incision in the open approach. The study aims to explore the pain intensity and severity of lateral neck dissection on operation day, postoperative month 1 and postoperative month 3 among the robotic, endoscopic and open approach.
Interventions
OTHERObservations on postoperative pain intensity
pain intensity was assessed using a standard visual analogue score, with a score of 0 to 10 corresponding to no pain to the most severe pain on operation day, postoperative day 1, postoperative month 1, postoperative month 3
Sponsors
Shanghai 6th People's Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients underwent lateral neck dissection via robotic, endoscopic or open approach * Clinical diagnosis of differentiated thyroid cancer * Clinical diagnosis of metastatic lateral lymph nodes
Exclusion criteria
* Participants with distant metastasis * Participants with history of neck surgery or radiation * Participants with vocal fold fixation by preoperative fibrolaryngoscope
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| degree of pain | approximately 4 hours after surgery, on postoperative day 1, postoperative month 1 and postoperative month 3 | pain intensity was assessed using a standard visual analogue score, with a score of 0 to 10 corresponding to no pain to the most severe pain |
| Number of participants with recurrent laryngeal nerve injury | through study completion, an average of 1 year | impaired vocal cord mobility confirmed by postoperative laryngoscopy |
| Number of participants with hypoparathyroidism | through study completion, an average of 1 year | a postoperative parathyroid hormone level of less than 10 pg/ml |
Countries
China
Contacts
CONTACTLing Zhan
PRINCIPAL_INVESTIGATORLing Zhan, Dr
Shanghai 6th People's Hospital
Outcome results
None listed