PECS II Block and Single Port Robot-assisted Transaxillary Thyroidectomy

Min Suk Chae

Status

Not yet enrolling

Conditions

Thyroid Cancer

Treatments

Procedure: Pectoral nerve block

Study type

Interventional

Funder types

Other

Identifiers

NCT06101043

KC22EISI0542

Details and patient eligibility

About

The da Vinci robotic system was developed to improve both operative maneuverability (through multi-articulated instruments) and the surgical view (via a three-dimensional camera). Although the system has many advantages, skin incision, wide flap dissection, and pneumatic/mechanical retraction remain essential, but cause postoperative pain and slower recovery. Previous studies found that pectoralis fascial blocks were easy to establish; local anesthetics are injected between two adjacent myofascial layers under ultrasound guidance, providing the surgeon with a clear image. Analgesic efficacy has been validated during robotic thyroidectomy in our institution. The pain outcomes were comparable between the groups, but there were fewer complications in the PECS II group. The investigators investigated whether this block can reduce postoperative pain during wide flap dissection for single-port robot-assisted transaxillary thyroidectomy.

Enrollment

76 estimated patients

Sex

All

Ages

19 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients aged 19 to 60 years who are scheduled to undergo single-port robot thyroidectomy (lobectomy or total thyroidectomy)
Patients with cancer stages T1 or T2 (less than 4 cm without invasion of surrounding tissue) when thyroid cancer is suspected in the preoperative examination
Patients with nodules with a maximum length of less than 4 cm based on ultrasonography if thyroid cancer is not suspected in the preoperative examination
Patients with a BMI greater than or equal to 18.5 and less than 30.0.

Exclusion criteria

Patients requiring lateral cervical lymph node dissection
pregnant women
Uncontrolled diabetes
Chronic kidney failure
Patients with previous neck surgery
Patients with Graves' disease
People with chronic alcoholism
Patients with vocal cord paralysis before surgery
Severe obese patients with a body mass index >35 kg/m2
Patients participating in another clinical trial within 30 days
Patients who expect that it will be difficult for medical staff to fill out the questionnaire on their own
Patients whose medical staff determines that participation in the study is difficult due to other underlying diseases