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The purpose of this study is to investigate whether reduced subcutaneous dissection area could offer patients more clinical benefits.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| standard | Experimental | 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. |
|
| limited dissection | Experimental | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| endoscopic thyroidectomy | Procedure | endoscopic thyroidectomy via the breast approach. the difference between two arms is in the subcutaneous dissection area. |
|
| Measure | Description | Time Frame |
|---|---|---|
| post-operative pain | 24hs after operation, post-operative pain is evaluated by VAS(visual analoge scale) | 24h post-operation |
| Measure | Description | Time Frame |
|---|---|---|
| number of patients with adverse effect | record how many patients had adverse effects(eg. bruise, seroma, hematoma, hoarseness,hypocalciemia) | within 3 months after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| wei zhang, MD | Contact | -8621-81885802 | zhangwei412@yahoo.com.cn | |
| ming qiu, MD | Contact | 8621-81885801 | qiuming2006@yahoo.cn |
| Name | Affiliation | Role |
|---|---|---|
| ming qiu, MD | Changzheng Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of General Surgery, Changzheng Hospital | Shanghai | Shanghai Municipality | 200003 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19361288 | Result | Wang M, Zhang T, Mao Z, Dong F, Li J, Lu A, Hu W, Zang L, Jiang Y, Zheng M. Effect of endoscopic thyroidectomy via anterior chest wall approach on treatment of benign thyroid tumors. J Laparoendosc Adv Surg Tech A. 2009 Apr;19(2):149-52. doi: 10.1089/lap.2008.0296. |
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| ID | Term |
|---|---|
| D013964 | Thyroid Neoplasms |
| ID | Term |
|---|---|
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D006258 | Head and Neck Neoplasms |
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|
| D004700 |
| Endocrine System Diseases |
| D013959 | Thyroid Diseases |