Impact of Dissection Area on the Clinical Outcome of Endoscopic Thyroidectomy (ET)

Second Military Medical University

Status: Unknown

Conditions: Thyroid Tumor

Treatments: Procedure: endoscopic thyroidectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT01338597

SMMU-2011-ET-1

Details and patient eligibility

About

The purpose of this study is to investigate whether reduced subcutaneous dissection area could offer patients more clinical benefits.

Full description

To create a working place in the chest wall is an inevitable step of endoscopic thyroidectomy. Large subcutaneous area was considered a drawback of endoscopic thyroidectomy. The purpose of this study is to investigate whether subcutaneous dissection area has influence on clinical outcome of endoscopic thyroidectomy, such as post-operative pain, complication rate and post-operative discomfort.

Enrollment: 40 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• thyroid nodule diagnosed by ultrasound
• willing to undergo endoscopic thyroidectomy

Exclusion criteria

• conversion to open surgery
• unwilling to join the research

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

standard

Experimental group

Description:

3 trocars are needed. two in the circumareolar region and one in the parasternal region. the dissection area begins from the trocar site and extends to the neck.

Treatment:

Procedure: endoscopic thyroidectomy

limited dissection

Experimental group

Description:

the dissection is reduced by creating a long tunnel from the trocar site and the dissection area confined in the upper chest wall and in the neck.

Treatment:

Procedure: endoscopic thyroidectomy