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A Prospective Trial Comparing Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) and Conventional Open Thyroidectomy

RECRUITINGN/ASponsored by Tseung Kwan O Hospital, Hong Kong
Actively Recruiting
PhaseN/A
SponsorTseung Kwan O Hospital, Hong Kong
Started2024-07-01
Est. completion2026-06-30
Eligibility
Age18 Years+
Healthy vol.Accepted

Summary

To determine if transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a safe and effective procedure compared to traditional open thyroidectomy. Surgical outcomes, patients' satisfaction, voice and swallowing outcomes will be assessed.

Eligibility

Age: 18 Years+Healthy volunteers accepted
Inclusion Criteria:

* Benign thyroid nodule less than 4cm
* Suspicious malignant thyroid nodule less than 2cm, suitable for transoral endoscopic surgery

Exclusion Criteria:

* Patients under 18 years old
* Contraindication to general anaesthesia
* Vulnerable population (e.g. Cognitive impairment, pregnant)
* Previous anterior neck surgery
* Previous radiotherapy at the head and neck region
* Malignant thyroid nodule \> 2cm
* Presence of another malignancy, lateral neck, or distant metastasis
* Retrosternal goitre
* Cervical spine disease precluding extension of the neck
* Obesity with BMI \> 35kg/m2
* Severe concomitant illness that drastically shortens life expectancy or increases risk of therapeutic intervention
* Untreated active infection
* Non-correctable coagulopathy
* Emergency surgery

Conditions3

Benign Thyroid NoduleCancerSuspicious Malignant Thyroid Nodule

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