Energy Device Study in Transoral Endoscopic Thyroidectomy
Study Details
Study Description
Brief Summary
Open label randomized controlled study, for Harmonic versus Ligasure in transoral endoscopic thyroid surgery.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
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This is a prospective randomized controlled study. The principal investigator or another clinical investigator in charge will individually inform the patients about the study, on the day before surgery.
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When informed consent is obtained, an investigator in charge of randomization only, will randomize the patients.
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According to randomization, the experimental group will Ligasure and the control group will use Harmonic ACE 7+. Other than the randomized use of energy devices, the protocol for TOETVA is performed as usual.
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Operation time (from insertion of the laparoscopic camera to removal of the camera), number of times the camera was cleaned, intraoperative blood loss will recorded.
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Postoperative hospital stay, visual analog pain scale, blood cell count and inflammatory parameters, postoperative drain amount will recorded.
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Complications of thyroid surgery (vocal cord dysfunction, hypoparathyroidism) are compared for safety assessment.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Harmonic Endoscopic procedure will be done by Harmonic ACE7+ |
Device: Harmonic
Harmonic ACE 7+
|
Experimental: Ligasure Endoscopic procedure will be done by Ligasure |
Device: Ligasure
Ligasureā¢ Maryland Jaw Laparoscopic Sealer/Divider 37cm
|
Outcome Measures
Primary Outcome Measures
- Operation time [During the procedure]
Surgery time during the thyroid lobectomy
- Camera cleaning frequency [During the procedure]
Numbers of camera cleaning during the lobectomy
- Blood loss [During the procedure]
Estimated blood loss during the lobectomy
Secondary Outcome Measures
- Pain score [Postoperative 1st and 2nd days]
visual analogue scale, ranged from 0-10 (0: no pain, 10: maximal pain)
- Drain amount [Postoperative 1st and 2nd days]
24-hour drain amount (ml/day)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients who planned to transoral endoscopic thyroidectomy
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Age between 20 to 70
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Voluntarily consenting to the study and study agreement
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No local invasion or distant metastasis
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Normal vocal cord function in laryngoscopic exam
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No significant abnormalities in preoperative laboratory tests
Exclusion Criteria:
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Take aspirin or antiplatelet drugs within 7 days before admission
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Uncontrolled hypertension, diabetes, chronic renal failure, or coagulation disease
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History of cardiovascular disease (angina pectoris, heart failure, myocardial infarction, history of coronary artery disease, stroke, transient ischemic attack)
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Substance abuse and alcohol abuse
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History of esophageal and airway diseases
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Patient was participated in other clinical trials within 30 days
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History of neck irradiation or surgery
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History of severe drug allergies
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Pregnant or lactating women
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Inha University Hospital | Incheon | Korea, Republic of | 22332 |
Sponsors and Collaborators
- Inha University Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2020-01-033