Study on the Application of Convenient Foot-control Exhaust Method in Endoscopic Thyroidectomy

Bo Wang,MD100 enrolled

Overview

Endoscopic thyroidectomy developed rapidly in recent years, and the most popular surgical approach was endoscopic thyroidectomy by bilateral areola approach, but some operative steps was required optimization. One of the most annoying problem was the smog blurring endoscopic lens during surgery. The researcher summarized a set of convenient foot-control exhaust method and carried out this prospective study.

The patients with papillary thyroid microcarcinoma were included according to the inclusive criteria and randomly divided them into two groups (foot-control exhaust group and direct exhaust group). The foot-control exhaust group used the foot-control exhaust method by the way of adjustable Pressure to intermittent exhaust, while direct exhaust group exhaust through the Trocar hole. Comparison of operation time, times of wiping the endoscopic lens, volume of postoperative drainage, and number of identified parathyroid gland between two groups.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

100

Conditions

Thyroid Cancer Papillary Thyroid Carcinoma Thyroidectomy Endoscopy

Interventions

used of the Pressure adjustable foot-control methodDEVICE

Whether The Pressure adjustable foot-control method is used.

direct exhaustDEVICE

direct exhaust through the trocar.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients with maximum tumor diameter ≤1 cm; 2. patients without lateral neck lymph node metastases; 3. patients without distant metastases; 4. patients who only needed unilateral surgery following the guidelines; 5. patients with strong cosmetic requirement. Exclusion criteria: 1. Patients with maximum tumor diameter \>1 cm; 2. patients who needed complement total thyroidectomy according to the guidelines, including tumor extrathyroidal extension as well as large amount of neck lymph node metastases and distant metastases; 3. patients without cosmetic requirements.

Locations (1)

Wen-xin ZHAO

Fuzhou, Fujian, China

RECRUITING

Outcomes

Primary Outcomes

Flap separation time

Flap separation time was acquired from endoscopic video was the period from endoscopy into the body to building up operation space.