The No-Tie Technique Using the Harmonic Scalpel in Total Thyroidectomy With Central Neck Dissection: A Prospective Randomized Study
Study Details
Study Description
Brief Summary
To investigate the safety and efficacy of the no-tie technique using the harmonic scalpel (HS) in terms of the operating time and complications in total thyroidectomy with central neck dissection (CND). Recently, the HS has been used as an alternative to conventional hand-tied ligation for hemostasis in thyroid surgery, which is a time-consuming procedure. Very limited data have been published on evidence of its safety in total thyroidectomy accompanied by CND without supplementary hand-tied ligation.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
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patients with total thyroidectomy plus central neck dissection
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if primary tumor size was more than 1 cm in papillary thyroid cancer
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there was any evidence of lymph node enlargement in paratracheal lymph node group preoperatively or intraoperatively
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patients who underwent minimal resection of the surrounding soft tissues, including the sternothyroid or sternohyoid muscle, for extracapsular extension of thyroid cancer
Exclusion Criteria:
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patients who required lateral compartment neck dissection or mediastinal dissection for preexisting lymph node metastasis
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patients had clinical or laboratory indicators of coagulation disorders
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patients with preexisiting vocal cord palsy, fixation of the tumor to the recurrent laryngeal nerve requiring trnasection of the nerve
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patients with massive extracapsular extension to the surrounding soft tissues.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Dept. of otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine | Bucheon | Korea, Republic of |
Sponsors and Collaborators
- Soonchunhyang University Hospital
Investigators
- Principal Investigator: Yoon Woo Koh, MD, Dept. of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
- SCHHN