Digitization and Optimization of Communication Between Surgery and Pathology in the Resection of Head and Neck Tumors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 155
- 试验地点
- 1
- 主要终点
- Resection status
研究概览
简要总结
The aim of the study is to investigate the extent to which the oncological safety of frozen sections can be improved through visual communication between head and neck surgery and pathology. To date, communication has taken place exclusively by telephone.
In the study photographs and videos of the tumor are taken and transmitted digitally to the pathology department. This provides the pathologist with a better understanding of the tumor bed and the orientation of the specimen.
Likewise, images of the frozen sections are taken in the pathology department, on which the pathologist marks margins that are not resected in sano or are only narrowly in sano. These images are transmitted to the surgeon and provide a more precise understanding of the areas where additional resection may be required.
To ensure patient safety, frozen section results are also communicated by telephone in the usual manner throughout the duration of the project.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Histological proof of malignant head and neck carcinoma by biopsy
- •Planned curative tumor resection with frozen section management
排除标准
- •No curative tumor resection aiming for R0 status
- •Head and neck tumors not assigned to surgical treatment
- •No frozen section management planned during surgery
研究组 & 干预措施
Visual digital communication group
The group receives frozen section management supported by digital visual communication between surgery and pathology during head and neck tumor resection.
干预措施: visual description of frozen section results during surgery (Procedure)
traditional telephone communication group
The group recieves frozen section management with conventionel communication via telephone between surgery and pathology during head and neck tumor resection
结局指标
主要结局
Resection status
时间窗: from day one through study completion, an average of 1 year
To increase the rate of R0 resections
次要结局
未报告次要终点
研究者
Claudia Scherl
Professor
Heidelberg University