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Objective to compare the advantages and disadvantages of robotic and conventional endoscopic thyroidectomy for thyroid cancer.
To compare the difference of operative time and complication between two operative methods in robot neck surgery and routine endoscopic surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Robot lateral neck lymph node dissection | Experimental | Robot neck lateral lymph node dissection was performed in patients with thyroid cancer and lateral cervical lymph node metastasis. |
|
| Total endoscopic lateral cervical lymph node dissection | Experimental | Patients with thyroid cancer and lateral cervical lymph node metastases underwent total endoscopic neck dissection. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Robot | Device | Robot lateral neck lymph node dissection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Lateral cervical lymph node cleaning time | Lateral cervical lymph node clean time from that beginning of cut the SCM leading edge to the end of the specimen | During surgery |
| Accessory nerve injury | Accessory nerve injury | During surgery |
| Intraoperative internal jugular vein bleeding. | Internal carotid vein hemorrhage affect that surgical procedure | 6 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| The time of the thyroid gland removal | The time of the thyroid gland removal , including the opening of the white line to the thyroid, and the end of the specimen | During surgery |
| Number of participants with HypoParathyroidism |
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Inclusion Criteria:
The exclusion criteria were as follows:
1) tumor size >4cm; 2) previous neck surgical history; 3)residual or recurrent tumors; 4) suspicious primary tumor or metastatic lymph node invasion of major vascular structures or recurrent laryngeal nerve.
5)metastatic lymph nodes occurred below the sternoclavicular joint.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fujian Medical University Union Hospital | Recruiting | Fuzhou | Fujian | 350001 | China |
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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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| ID | Term |
|---|---|
| D065287 | Robotic Surgical Procedures |
| ID | Term |
|---|---|
| D025321 | Surgery, Computer-Assisted |
| D013514 | Surgical Procedures, Operative |
| D012371 | Robotics |
| D001331 | Automation |
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| Total endoscopic | Device | Total endoscopic lateral cervical lymph node dissection |
|
|
The parathyroid function was examined six months after surgery.
| 6 months after surgery |
| Recurrent laryngeal nerve injury. | The recurrent laryngeal nerve function due to nerve injury or thermal damage can not be recovered for 6 months. | 6 months after surgery |
| Wen-xin ZHAO | Recruiting | Fuzhou | Fujian | 350001 | China |
|
| D004700 |
| Endocrine System Diseases |
| D013959 | Thyroid Diseases |
| D013672 |
| Technology |
| D013676 | Technology, Industry, and Agriculture |