Observations on clinicopathological factors influencing the difficulty of surgery
Observations on clinicopathological factors influencing the difficulty of surgery: Age, body mass index, gender, thyroid function parameters, lesion size, lesion location, ultrasound data
Study summary
No prior studies have stratified the difficulty of transoral and submental thyroidectomy (TOaST). The investigators aimed to investigate preoperative factors as indicators of difficult TOaSTs and to develop a predictive model accordingly.
Eligibility
Sex
ALL
Min age
—
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Clinical diagnosis of differentiated thyroid cancer with a maximum diameter not exceeding 4 cm
* Absence of suspicious lateral lymph nodes or distant metastases
* Participants with high cosmetic expectations
* Participants who underwent total thyroidectomy and central lymph node dissection.
Exclusion Criteria:
* Participants with fusion or fixation of lymph nodes in the neck
* Participants with history of neck surgery or radiation
* Participants with vocal fold fixation by preoperative fibrolaryngoscope
* Participants with preoperative examination suggestive of extrathyroidal invasion
* Participants with a significantly restricted neck
Primary outcome measure(s)
Number of participants with recurrent laryngeal nerve injury — through study completion, an average of 1 year impaired vocal cord mobility confirmed by postoperative laryngoscopy
Number of participants with hypoparathyroidism — through study completion, an average of 1 year a postoperative parathyroid hormone level of less than 10 pg/ml
Number of participants with mental nerve injury — through study completion, an average of 1 year a postoperative numbness in the lower lip and submental area
operative time — through study completion, an average of 1 year operative time was defined as the duration from incision to closure, and was collected from anesthesia record sheet
Trial sites (1)
Facility
City
Region
Status
Shanghai Sixth People's Hospital
Shanghai
Shanghai Municipality
Recruiting
More Shanghai 6th People's Hospital trials in China
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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