Single-Incision Gasless Endoscopic Total Thyroidectomy Via Subclavian Approach Versus Open Surgery for PTC

Sun Yat-sen University

Status: Enrolling

Conditions: Papillary Thyroid Carcinoma

Treatments: Procedure: single-incision, gasless endoscopic total thyroidectomy with central compartment neck dissection; Procedure: conventional open surgery

Study type: Observational

Funder types: Other

Identifiers

NCT06592755

SYSKY-2023-1124-01

Details and patient eligibility

About

Historically, performing a contralateral thyroid lobectomy and lymph node dissection via the subclavian approach was considered challenging. This study aimed to evaluate the safety and feasibility of single-incision gasless endoscopic total thyroidectomy and central compartment neck dissection via the subclavian approach (SCA) in comparison to conventional open surgery for the treatment of papillary thyroid carcinoma (PTC) retrospectively.

Full description

Historically, performing a contralateral thyroid lobectomy and lymph node dissection via the subclavian approach was considered challenging. This study aimed to evaluate the safety and feasibility of single-incision gasless endoscopic total thyroidectomy and central compartment neck dissection via the subclavian approach (SCA) in comparison to conventional open surgery for the treatment of papillary thyroid carcinoma (PTC) retrospectively.

Enrollment: 120 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• (1) thyroid neoplasm <3.0 cm;
• (2) well differentiated papillary thyroid carcinoma.

Exclusion criteria

• (1) extrathyroidal extensions estimated in ultrasonography scan;
• (2) enlarged lymph nodes in lateral neck compartment on palpation, or US scan;
• (3) suspected distant metastases;
• (4) previous history of neck radiation therapy and/or surgery.

Trial design

120 participants in 2 patient groups

the Subclavian Approach group

Description:

The patients chose to undergo total thyroidectomy and central compartment neck dissection via the single-incision subclavian approach.

Treatment:

Procedure: single-incision, gasless endoscopic total thyroidectomy with central compartment neck dissection

the conventional open surgery group

Description:

The patients chose to undergo total thyroidectomy and central compartment neck dissection via the conventional open surgery approach.

Treatment:

Procedure: conventional open surgery