Lateral Cervical Node Dissection in Differentiated Thyroid Cancer.
NCT06149637 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 62
Last updated 2024-10-29
Summary
The objective of this study is to compare shoulder and neck morbidity and the effectiveness of cervical lateral nodal dissection in patients with differentiated thyroid cancer and lateral metastases between the anterior and posterior approaches to the sternocleidomastoid muscle (SCM)
Conditions
Interventions
- PROCEDURE
-
Traditional neck dissection approach
.1. A transverse cervical incision is made with horizontal extension towards the affected side. 2. It is dissected through the subplatysmal plane, the posterior edge of the sternocleidomastoid muscle is dissected along its entire length. 3. Identification and dissection of the spinal nerve at Erb's point. 4. Level V nodes are dissected up to the spinal nerve without identifying or dissecting it 5. The jugular chain nodes are identified and the left level IV nodes are dissected with special attention to ligate the lymphatics of this level 6. Identification and dissection of level III nodes 7. Identification and dissection of level IIA and IIB ganglia with identification and preservation of the accessory nerve.
- PROCEDURE
-
Anterior neck dissection approach
1. A transverse cervical incision is made with horizontal extension towards the affected side. 2. It is dissected through the subplatysmal plane, the anterior edge of the sternocleidomastoid muscle is dissected along its entire length. 3. Level V nodes are dissected up to the spinal nerve without identifying or dissecting it 4. The jugular chain nodes are identified and the left level IV nodes are dissected with special attention to ligate the lymphatics of this level 5. Identification and dissection of level III nodes 6. Identification and dissection of level IIA and IIB nodes with identification and preservation of the accessory nerve.
Sponsors & Collaborators
-
Hospital Alma Mater de Antioquia
collaborator UNKNOWN -
Hospital San Vicente Fundación
collaborator OTHER -
Clinica Las Vegas- Grupo QuironSalud
collaborator UNKNOWN -
Centro de Excelencia en Enfermedades de Cabeza y Cuello
lead OTHER
Principal Investigators
-
Alvaro Sanabria · Universidad de Antioquia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-08-01
- Primary Completion
- 2025-08-31
- Completion
- 2028-08-31
Countries
- Colombia
Study Locations
More Related Trials
-
Prediction of Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma Based on Ultrasound and Cytological Images
NCT06399159 ·Status: COMPLETED
-
the Dissection of Lymph Node Posterior to Right Recurrent Laryngeal Nerve for Papillary Thyroid Carcinoma
NCT03813706 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Predictive Factors of Lymph Node Metastasis in Patients With Papillary Microcarcinoma of the Thyroid
NCT04274829 ·Status: COMPLETED
-
Evaluation of Central Compartment Dissection Without Thyroidectomy
NCT03454464 ·Status: UNKNOWN ·Phase: NA
-
Multicenter Comparison of Thermal Ablation Versus Thyroid Lobectomy for Subcapsular Papillary Thyroid Microcarcinoma
NCT06583057 ·Status: COMPLETED
-
Robotic Surgery Via Bilateral Axillo-breast Approach for Relatively Low-risk Papillary Thyroid Carcinoma With Lateral Cervical Lymph Node Metastasis: a Safe and Effective Cosmetic Procedure in the Context of Prevalent Thyroid Ultrasound Screening
NCT07229859 ·Status: COMPLETED
-
Total Thyroidectomy With and Without Prophylactic Central Neck Lymph Node Dissection in People With Low-risk Papillary Thyroid Cancer
NCT02408887 ·Status: TERMINATED ·Phase: PHASE2
-
No Drainage During Transoral Endoscopic Thyroidectomy Vestibular Approach(TOETVA)
NCT04931576 ·Status: UNKNOWN ·Phase: NA
-
Significance of Contralateral Central Lymph Node Dissection in Unilateral cN0 Differentiated Thyroid Carcinoma.
NCT03845647 ·Status: UNKNOWN ·Phase: NA
-
Fascial Versus Standard Neck Dissection in Patients With N1b Papillary Thyroid Carcinoma
NCT05804682 ·Status: COMPLETED
-
Prophylactic Selective Lateral Neck Dissection in Patients With Papillary Thyroid Carcinoma
NCT01103557 ·Status: COMPLETED ·Phase: NA
-
Effect of Cervical Block on Recurrent Laryngeal Nerve Monitoring During Thyroid Surgery
NCT04585126 ·Status: UNKNOWN ·Phase: NA
-
Central Cervical Dissection for Clinical Node Negative Papillary Thyroid Carcinoma
NCT03813173 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Intraoperative Pathologic Evaluation of Central Lymph Nodes in Papillary Thyroid Carcinoma
NCT07066644 ·Status: COMPLETED
-
Comparative Study of Transaxillary Robotic Thyroidectomy With MRND Versus Conventional Open Surgery in N1b PTC
NCT06623578 ·Status: RECRUITING ·Phase: NA
-
Study of Transaxillary Robotic Thyroidectomy Versus Standard Open Thyroidectomy: Prospective, Comparative Single-Center Study
NCT06693258 ·Status: RECRUITING ·Phase: NA
-
Is Routine Dissection of Central Lymph Node Necessary for Papillary Thyroid Carcinoma, T1-2 N0?
NCT04336696 ·Status: UNKNOWN ·Phase: NA
-
Radiofrequency Ablation Versus Hemithyroidectomy of Small Thyroid Cancers
NCT06796348 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Two-field Versus Three-field Lymphadenectomy in Thoracic Esophageal Carcinoma Without Cervical Lymph Node Involvement
NCT02448953 ·Status: UNKNOWN ·Phase: NA
-
Bilateral Elective Neck Dissection in Salvage Total Laryngectomy
NCT05746780 ·Status: COMPLETED
-
Endoscopic Thyroidectomy Versus Open Thyroidectomy for Papillary Thyroid Carcinoma
NCT05446441 ·Status: UNKNOWN ·Phase: NA
-
A Prospective, Open-label, Multicenter, Randomized Controlled Phase III Study of Prophylactic Central Neck Dissection in Low-risk Papillary Thyroid Cancer
NCT06082180 ·Status: RECRUITING ·Phase: PHASE3
-
Prophylactic Central Lymph Node Dissection in Papillary Thyroid Microcarcinoma
NCT00795782 ·Status: COMPLETED ·Phase: PHASE3
-
Outcomes of Different Thyroid Resections for Multinodular Non-toxic Goiter
NCT00946894 ·Status: COMPLETED ·Phase: NA
-
Selective Neck Dissection Versus Modified Neck Dissection in PTC
NCT06554652 ·Status: RECRUITING ·Phase: PHASE3