Surgical Competency for Robot-Assisted Thyroidectomy: Construction and Validation of a Robotic Thyroidectomy Assessment Score (RTAS)

NCT ID: NCT06730321

Last Updated: 2024-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-12-12

Study Completion Date

2025-12-31

Brief Summary

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To develop and validate a structured scoring tool (robotic thyroidectomy assessment score, RTAS) for assessing and quantifying surgical performance in robotic thyroidectomy (RT).

Detailed Description

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This study was conducted in two phases. In the first phase, the content development and validation phase, the key elements of robotic thyroidectomy with central neck dissection were broken down into 9 key steps for assessing the technical skills required to complete the procedure: creating the surgical area, exposing the thyroid gland, dissecting the upper pole of the thyroid gland with preservation of the superior laryngeal nerve (SLN), identifying and protecting the upper pole of the parathyroid glands, protecting the retractor laryngeal nerve (RLN), identifying and protecting the lower pole of the parathyroid glands, removing the thyroid, dissection of the central neck region and hemostasis.

The Delphi method was used for content validation of the 9 key steps. Each item was described using a Likert scale: 1 for worst and 5 for best. Experts were invited to evaluate each of the 9 key steps in terms of the description of the items and the agreement of the items with the assigned scores. Based on the Delphi method, the opinions of the experts were collected and consensus on the entry was indicated by determining that a content validity index (CVI) \> 0.75 (CVI measure: the proportion of experts who scored each entry 4 or 5. Consensus is considered to have been reached when the CVI reaches 0.75. For entries where consensus was not reached entries were revised to reflect any changes suggested by the expert group and the revised scoring system was recirculated for reassessment. This process is repeated until all entries have reached consensus.

In the second phase of the study, the structural validation phase, two consecutive 50 robotic by the same operator after a learning curve were scored. The aim was to analyze whether the scoring system developed in the first phase could assess operator progress and steps for improvement. In addition, the time taken to complete the procedure was recorded and compared. It was also analyzed whether there were any differences in the baseline (tumor size, location, age, gender, etc.) of the patients in the two groups (1st 50 cases and 2nd 50 cases).

Conditions

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Thyroid Cancer Thyroid Nodule Thyroid Diseases Thyroid Cancer, Papillary Thyroid Cancer, Follicular

Keywords

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Robotic thyroidectomy Surgical competency Robotic thyroidectomy assessment score

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients underwent robotic thyroidectomy

Patients underwent robotic thyroidectomy without conversion during the study period

Observations on clinicopathological factors influencing the assessment score of surgery

Intervention Type OTHER

Age, body mass index, gender, thyroid function parameters, lesion size, lesion location, ultrasound data

Interventions

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Observations on clinicopathological factors influencing the assessment score of surgery

Age, body mass index, gender, thyroid function parameters, lesion size, lesion location, ultrasound data

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of differentiated thyroid cancer with a maximum diameter not exceeding 4 cm
* Clinical diagnosis of benign thyroid nodules with a maximum diameter not exceeding 6 cm
* Participants with high cosmetic expectations
* Participants underwent robotic thyroidectomy without open conversion

Exclusion Criteria

* Participants with history of neck surgery or radiation
* Participants with vocal fold fixation by preoperative fibrolaryngoscope
* Participants with preoperative examination suggestive of distant invasion
* Participants with fusion or fixed of lymph nodes in the neck
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai 6th People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ling Zhan

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ling Zhan, Doctor

Role: PRINCIPAL_INVESTIGATOR

Shanghai 6th People's Hospital

Locations

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Shanghai Sixth People's Hospital

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ling Zhan, Doctor

Role: CONTACT

Phone: 08615821120972

Email: [email protected]

Facility Contacts

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Ling Zhan, Doctor

Role: primary

Other Identifiers

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2024-KY-245(K)

Identifier Type: -

Identifier Source: org_study_id