Total Thyroidectomy With Harmonic Scalpel®
Recruitment status was Not yet recruiting
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Purpose
Harmonic scalpel is a new surgical instrument. Its use has been recommended in patients submitted to total thyroidectomy. Few randomized controlled trials has been published. However they had small sample sizes, used intermediate outcomes and included different surgical procedures.
Our objective is to asses the use of Harmonic scalpel in patients submitted to total thyroidectomy using surgical complications, operative time, drainage volume, postoperative pain, length of stay and costs as outcomes. Our hypothesis is that Harmonic scalpel decreases operative time,drainage volume, postoperative pain, length of stay and costs without increasing surgical complications
| Condition | Intervention | Phase |
|---|---|---|
|
Thyroid Neoplasm Goiter Thyroid Nodule |
Device: Harmonic Scalpel |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind Primary Purpose: Treatment |
| Official Title: | Total Thyroidectomy With Harmonic Scalpel® Versus Standard Surgery. Open Multicentric Randomized Controlled Trial |
- Postoperative complications
- Operative time
- Drainage volume
- Postoperative pain
- Length of stay
- Direct Costs
| Estimated Enrollment: | 280 |
This is a multicentric open phase IV randomized controlled trial comparing patients submitted to total thyroidectomy comparing standard surgical procedure versus Harmonic scalpel assisted procedure. Adult patients with benign or malignant thyroid disease and normal function will be included. Patients with giant goiter, hyperthyroidism, non differentiated thyroid carcinoma, locally invasive tumors, neck dissection, previous neck radiotherapy or chemotherapy, video assisted surgery and severe comorbidities will be excluded. calculated sample size was 280 patients. Outcomes will be assessed by an independent monitor. All centers will made a previous standardization of surgical procedures.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adult (>18 y/o)
- Benign or malignant thyroid disease
- Proposal of total thyroidectomy
- Normal thyroid function
Exclusion Criteria:
- Giant goiter
- Hyperthyroidism
- Non differentiated thyroid carcinoma
- Locally invasive tumors
- Neck dissection as a part of procedure
- Previous surgery, radiotherapy or I131 therapy on neck
- Video-assisted or endoscopic thyroidectomy
- Severe comorbidities
- Coagulation disorders
Contacts and Locations| Contact: Luiz P Kowalski, PhD | 55-11-33410325 | lp_kowalski@uol.com.br |
| Contact: Andre L Carvalho | alopescarvalho@uol.com.br |
| Brazil | |
| Hospital Araujo Jorge | Not yet recruiting |
| Goiania, GO, Brazil | |
| Principal Investigator: Maria P Curado, PhD | |
| Hospital Erasto Gaertner | Not yet recruiting |
| Curitiba, PR, Brazil | |
| Principal Investigator: Paola Pedruzzi, MSc | |
| Instituto Nacional de Cancer INCA | Not yet recruiting |
| Rio de Janeiro, RJ, Brazil | |
| Principal Investigator: Roberto Araujo Lima, PhD | |
| Hospital do Cancer de Natal | Not yet recruiting |
| Natal, RN, Brazil | |
| Principal Investigator: Fernando Pinto, MD | |
| Hospital do Cancer AC Camargo | Not yet recruiting |
| Sao Paulo, SP, Brazil | |
| Principal Investigator: Luiz P Kowalski, PhD | |
| Hospital Heliopolis | Not yet recruiting |
| Sao Paulo, SP, Brazil | |
| Principal Investigator: Carlos Lehn, PhD | |
| Hospital Sao Paulo-UNIFESP | Not yet recruiting |
| Sao Paulo, SP, Brazil | |
| Principal Investigator: Fernando Walder | |
| Santa Casa de Misericordia | Not yet recruiting |
| Sao Paulo, SP, Brazil | |
| Principal Investigator: Antonio J Gonçalves, PhD | |
| Instituto Arnaldo Vieira de Carvalho | Not yet recruiting |
| Sao Paulo, SP, Brazil | |
| Principal Investigator: Jose de Gois Filho, MD | |
| Principal Investigator: | Luiz P Kowalski, PhD | Brazilian Society of Head and Neck Surgery |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00385983 History of Changes |
| Other Study ID Numbers: | CP005 |
| Study First Received: | October 10, 2006 |
| Last Updated: | October 10, 2006 |
| Health Authority: | Brazil: National Committee of Ethics in Research |
Keywords provided by Brazilian Society of Head and Neck Surgery:
|
thyroidectomy thyroid neoplasm postoperative complications cost effectiveness |
Additional relevant MeSH terms:
|
Neoplasms Thyroid Neoplasms Goiter Thyroid Diseases Thyroid Nodule |
Endocrine Gland Neoplasms Neoplasms by Site Head and Neck Neoplasms Endocrine System Diseases |
ClinicalTrials.gov processed this record on June 17, 2013