Comparing the Therapeutic Efficacy of Extended Isthmusectomy Versus Total Thyroidectomy for Isthmus Tumors of the Thyroid
NCT07274605 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 520
Last updated 2025-12-10
Summary
Prospective randomized open phase III non-inferiority trial in cT1bN0N1aM0 isthmus tumors of the thyroid comparing: extended Isthmusectomy (Isthmusectomy + Central Neck Dissection)(experimental group) versus total thyroidectomy + Central Neck Dissection (reference group).
Conditions
- Thymectomy
- Thyroid Cancer
Interventions
- PROCEDURE
-
Total thyroidectomy
Total Thyroidectomy with bilateral central compartment (level VI) neck dissection - surgical removal of entire thyroid gland and perform bilateral Level VI neck dissection. This is the standard treatment recommended by the Chinese Guidelines for the Diagnosis and Management of Thyroid Nodules and Differentiated Thyroid Cancer (2nd Edition). The participating surgeons all routinely perform complete central neck dissections. They were selected for this study due to their standardized technique, which ensures a consistent surgical approach.
- PROCEDURE
-
Extended isthmusectomy
Extended isthmusectomy with bilateral central compartment (level VI) neck dissection : Completely resect the isthmus and portions of the bilateral thyroid gland adjacent to the isthmus, ensuring an R0 resection margin for the tumor, while preserving at least more than half of the bilateral thyroid lobes.
Sponsors & Collaborators
-
Second Affiliated Hospital, School of Medicine, Zhejiang University
lead OTHER
Principal Investigators
-
Zhiyu Li, MD · Thyroid surgery Department, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, China
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-19
- Primary Completion
- 2028-11-01
- Completion
- 2032-12-01
Countries
- China
Study Locations
More Related Trials
-
Single-Incision Gasless Endoscopic Total Thyroidectomy Via Subclavian Approach Versus Open Surgery for PTC
NCT06592755 ·Status: RECRUITING
-
Subtotal Versus Total Thyroidectomy for Benign Goiter
NCT01273714 ·Status: COMPLETED ·Phase: NA
-
The Importance of Thymus Anatomy to the Radical Resection of Thyroid Cancer Surgery and the Protection of Parathyroid Function
NCT06851260 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Robot-assisted vs VATS for Thymoma
NCT06029621 ·Status: RECRUITING ·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
-
Comparative Study of Transaxillary Robotic Thyroidectomy With MRND Versus Conventional Open Surgery in N1b PTC
NCT06623578 ·Status: RECRUITING ·Phase: NA
-
No Drainage During Transoral Endoscopic Thyroidectomy Vestibular Approach(TOETVA)
NCT04931576 ·Status: UNKNOWN ·Phase: NA
-
ESTIMation of the ABiLity of Prophylactic Central Compartment Neck Dissection to Modify Outcomes in Low-risk Differentiated Thyroid Cancer
NCT03570021 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Outcomes of Different Thyroid Resections for Multinodular Non-toxic Goiter
NCT00946894 ·Status: COMPLETED ·Phase: NA
-
Feasibility of Endoscopic Thyroidectomy for Thyroid Carcinoma
NCT00993837 ·Status: UNKNOWN ·Phase: NA
-
Radiofrequency Ablation Versus Hemithyroidectomy of Small Thyroid Cancers
NCT06796348 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Selective Neck Dissection Versus Modified Neck Dissection in PTC
NCT06554652 ·Status: RECRUITING ·Phase: PHASE3
-
The Curative Effect of Extended Thymectomy Performed Through Subxiphoid-right VATS Approach With Elevation of Sternum
NCT03613272 ·Status: UNKNOWN ·Phase: NA
-
Video-assisted Thoracoscopic Thymectomy Versus Subxiphoid Procedure
NCT04223466 ·Status: RECRUITING ·Phase: NA
-
Hybrid Endoscopic Hemithyroidectomy and Targeted Ablation for Bilateral Papillary Thyroid Carcinoma
NCT07033572 ·Status: RECRUITING ·Phase: NA
-
Total Thyroidectomy With and Without Prophylactic Central Neck Lymph Node Dissection in People With Low-risk Papillary Thyroid Cancer
NCT02408887 ·Status: TERMINATED ·Phase: PHASE2
-
Central Compartment Neck Dissection With Thyroidectomy
NCT01106443 ·Status: TERMINATED ·Phase: NA
-
Is Routine Dissection of Central Lymph Node Necessary for Papillary Thyroid Carcinoma, T1-2 N0?
NCT04336696 ·Status: UNKNOWN ·Phase: NA
-
Dual-port Trans-subclavian Thyroid Endoscopic Surgery
NCT06398795 ·Status: RECRUITING ·Phase: NA
-
Central Neck Dissection in Patients With Clinical Node Negative Thyroid Cancer
NCT02138214 ·Status: COMPLETED ·Phase: PHASE2
-
Comparative Study in Oral, Breast Approach and Open Thyroidectomy
NCT03479801 ·Status: UNKNOWN
-
Irreversible Electroporation for Recurrent or Metastatic Cervical Lymph Node Metastases From Thyroid Cancer: A Prospective Multicenter Single-Arm Study
NCT07328243 ·Status: RECRUITING ·Phase: NA
-
Medico-economic Evaluation Comparing the Use of Ultrasonic Scissors to the Conventional Techniques of Haemostasis in Thyroid Surgery by Cervicotomy
NCT01551914 ·Status: UNKNOWN ·Phase: PHASE3
-
Multicenter Comparison of Thermal Ablation Versus Thyroid Lobectomy for Subcapsular Papillary Thyroid Microcarcinoma
NCT06583057 ·Status: COMPLETED
-
The Safety and Efficacy of "3-Hole" Subxiphorid Approach in the Treatment of Anterior Mediastinal Tumor
NCT02317224 ·Status: UNKNOWN ·Phase: PHASE2