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Comparison Between Robotic, Endoscopic and Traditional Open Surgery in Thyroidectomy

Not Applicable
Conditions
Robotics
Thyroidectomy
Endoscopy
Papillary Thyroid Carcinoma
Interventions
Procedure: conventional open surgery
Device: robotic thyroidectomy
Procedure: endoscopic thyroidectomy
Registration Number
NCT03454477
Lead Sponsor
Fujian Medical University
Brief Summary

Comparison of endoscopic thyroidectomy, robotic thyroidectomy and conventional open surgery, the safety of the operation, the timing of the operation and the complications.

Detailed Description

With the further development of endoscopic technique, thyroid surgery of the robot has emerged, which may become a trend of endoscopic technology due to its convenience and accuracy.In this study, the advantages and disadvantages of endoscopic thyroidectomy and robotic thyroid surgery were compared, and the experience in the transition stage of thyroid surgery in robotic and endoscopic thyroidectomy was summarized.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
90
Inclusion Criteria
  • Thyroid papillary carcinoma.
  • The tumor diameter is less than or equal to 1cm.
  • The lymph nodes are limited to the VI level.
  • Voluntary choice of endoscopy or robotic surgery.
Exclusion Criteria
  • Patients without beauty needs.
  • There is lateral neck or mediastinal lymph node metastasis.
  • The tumor invades the nerve and surrounding organs.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
conventional open surgeryconventional open surgeryPatients who met the inclusion criteria were selected for a conventional open surgery procedure for a conventional neck incision for thyroid surgery.
robotic thyroidectomyrobotic thyroidectomyPatients who met the inclusion criteria chose the Da Vinci robot for thyroid surgery.
endoscopic thyroidectomyendoscopic thyroidectomyPatients who met the inclusion criteria were selected to undergo thyroid surgery via endoscopic thyroidectomy
Primary Outcome Measures
NameTimeMethod
recurrent laryngeal nerve palsy2 months post operation

the number of recurrent laryngeal nerve palsy

operation timeThe first day after surgery

Assess the operation time

Secondary Outcome Measures
NameTimeMethod
cosmetic effect2 months post operation

The satisfaction with cosmetic outcomes was analyzed quantitatively using a scoring system that ranged from 1 to 4(1, extremely; 2, fairly; 3, normal; 4: not at all) that was rated by patients at the outpatient clinic 2 months after the operation.

thyroid volumeThe day before the operation

thyroid volume

Trial Locations

Locations (1)

Wen-xin ZHAO

🇨🇳

Fuzhou, Fujian, China

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