Comparison Between Robotic, Endoscopic and Traditional Open Surgery in Thyroidectomy

Study Overview
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Brief Summary
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Comparison of endoscopic thyroidectomy, robotic thyroidectomy and conventional open surgery, the safety of the operation, the timing of the operation and the complications.

Detailed Description
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With the further development of endoscopic technique, thyroid surgery of the robot has emerged, which may become a trend of endoscopic technology due to its convenience and accuracy.In this study, the advantages and disadvantages of endoscopic thyroidectomy and robotic thyroid surgery were compared, and the experience in the transition stage of thyroid surgery in robotic and endoscopic thyroidectomy was summarized.

Official Title
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From the Endoscope to the Robot, the Initial Experience of Robotic Thyroidectomy is Summarized

Conditions
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Endoscopy, Robotics, Thyroidectomy, Papillary Thyroid Carcinoma

Intervention / Treatment
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* Procedure: conventional open surgery
* Procedure: endoscopic thyroidectomy
* Device: robotic thyroidectomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Thyroid papillary carcinoma. The tumor diameter is less than or equal to 1cm. The lymph nodes are limited to the VI level. Voluntary choice of endoscopy or robotic surgery. Exclusion Criteria: Patients without beauty needs. There is lateral neck or mediastinal lymph node metastasis. The tumor invades the nerve and surrounding organs.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: conventional open surgery<br>Patients who met the inclusion criteria were selected for a conventional open surgery procedure for a conventional neck incision for thyroid surgery. | Procedure: conventional open surgery<br>* conventional open surgery<br>|
| Experimental: endoscopic thyroidectomy<br>Patients who met the inclusion criteria were selected to undergo thyroid surgery via endoscopic thyroidectomy | Procedure: endoscopic thyroidectomy<br>* endoscopic thyroidectomy<br>|
| Experimental: robotic thyroidectomy<br>Patients who met the inclusion criteria chose the Da Vinci robot for thyroid surgery. | Device: robotic thyroidectomy<br>* robotic thyroidectomy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| operation time | Assess the operation time | The first day after surgery | 
| recurrent laryngeal nerve palsy | the number of recurrent laryngeal nerve palsy | 2 months post operation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| thyroid volume | thyroid volume | The day before the operation | 
| cosmetic effect | The satisfaction with cosmetic outcomes was analyzed quantitatively using a scoring system that ranged from 1 to 4(1, extremely; 2, fairly; 3, normal; 4: not at all) that was rated by patients at the outpatient clinic 2 months after the operation. | 2 months post operation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Endoscopy, Robotics, Thyroidectomy, Papillary Thyroid Carcinoma