Supraclavicular oblique incision sternocleidomastoid intermuscular approach versus traditional low collar incision linea Alba Cervicalis Approach in thyroid lobectomy (LATERAL study): the protocol for a multicenter prospective non-randomized controlled study

Abstract Background A Chinese multicenter prospective cohort study of supraclavicular oblique incision sternocleidomastoid intermuscular approach (SOI-SMIA) versus traditional low collar incision linea alba cervicalis approach (TCLI-LACA) in thyroid lobectomy for papillary thyroid carcinoma (LATERAL...

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Main Authors: Cheng Qu, Yanbo Sun, Yanxue Wang, Bo Jiang, Chaoyu Jiang, Chen Zhang, Yue Wang, Jingchen Wang, Hua Xi, Yongzhao Chen, Dengyuan Yang, Yuqian Luo, Lei Su
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Surgery
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Online Access:https://doi.org/10.1186/s12893-025-03041-1
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author Cheng Qu
Yanbo Sun
Yanxue Wang
Bo Jiang
Chaoyu Jiang
Chen Zhang
Yue Wang
Jingchen Wang
Hua Xi
Yongzhao Chen
Dengyuan Yang
Yuqian Luo
Lei Su
author_facet Cheng Qu
Yanbo Sun
Yanxue Wang
Bo Jiang
Chaoyu Jiang
Chen Zhang
Yue Wang
Jingchen Wang
Hua Xi
Yongzhao Chen
Dengyuan Yang
Yuqian Luo
Lei Su
author_sort Cheng Qu
collection DOAJ
description Abstract Background A Chinese multicenter prospective cohort study of supraclavicular oblique incision sternocleidomastoid intermuscular approach (SOI-SMIA) versus traditional low collar incision linea alba cervicalis approach (TCLI-LACA) in thyroid lobectomy for papillary thyroid carcinoma (LATERAL study) has been initiated. The aim is to compare surgical approach-related outcomes in thyroid lobectomy. We here outline the detailed protocol for this study. Methods PTC which can be treated by lobectomy is considered for inclusion in the study. Eligible patients will receive printed materials that detail the advantages and disadvantages of each management option, allowing them to select their preferred intervention. Thyroid lobectomy by SOI-SMIA or TCLI-LACA will be performed within 24 h after grouping. We designed a composite index of surgical approach-related trauma as the primary endpoint. It includes both the superficial (scar consciousness and appearance satisfaction) component and the deep component (neck impairment), and will be assessed at 1 month and 6 months after surgery. The LATERAL study will be conducted in three hospitals in China. We plan to recruit 80 patients per group and enroll patients consecutively over time and will conclude once the group with the smaller number of participants reaches 80 cases. Conclusion The results of this trial will contribute to confirming the role of SOI-SMIA in thyroid lobectomy for PTC, and provide evidence to support its wider adoption.
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spelling doaj-art-80b0c0fc551847c0991908802550df792025-08-20T03:45:40ZengBMCBMC Surgery1471-24822025-07-012511810.1186/s12893-025-03041-1Supraclavicular oblique incision sternocleidomastoid intermuscular approach versus traditional low collar incision linea Alba Cervicalis Approach in thyroid lobectomy (LATERAL study): the protocol for a multicenter prospective non-randomized controlled studyCheng Qu0Yanbo Sun1Yanxue Wang2Bo Jiang3Chaoyu Jiang4Chen Zhang5Yue Wang6Jingchen Wang7Hua Xi8Yongzhao Chen9Dengyuan Yang10Yuqian Luo11Lei Su12Division of Thyroid Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Medical School, Nanjing UniversityDepartment of Surgery, Ma’anshan Maternal and Child Health Care HospitalDivision of Thyroid Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Medical School, Nanjing UniversityDivision of Thyroid Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Medical School, Nanjing UniversityDivision of Thyroid Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Medical School, Nanjing UniversityDivision of Thyroid Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Medical School, Nanjing UniversityDepartment of Surgery, Nanjing Central HospitalDepartment of General Surgery, Taikang Xianlin Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing UniversityDepartment of General Surgery, Taikang Xianlin Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing UniversityDivision of Thyroid Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Medical School, Nanjing UniversityDepartment of Surgery, Nanjing Central HospitalDepartment of Laboratory Medicine, Nanjing Drum Tower Hospital, Medical School of Nanjing UniversityDivision of Thyroid Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Medical School, Nanjing UniversityAbstract Background A Chinese multicenter prospective cohort study of supraclavicular oblique incision sternocleidomastoid intermuscular approach (SOI-SMIA) versus traditional low collar incision linea alba cervicalis approach (TCLI-LACA) in thyroid lobectomy for papillary thyroid carcinoma (LATERAL study) has been initiated. The aim is to compare surgical approach-related outcomes in thyroid lobectomy. We here outline the detailed protocol for this study. Methods PTC which can be treated by lobectomy is considered for inclusion in the study. Eligible patients will receive printed materials that detail the advantages and disadvantages of each management option, allowing them to select their preferred intervention. Thyroid lobectomy by SOI-SMIA or TCLI-LACA will be performed within 24 h after grouping. We designed a composite index of surgical approach-related trauma as the primary endpoint. It includes both the superficial (scar consciousness and appearance satisfaction) component and the deep component (neck impairment), and will be assessed at 1 month and 6 months after surgery. The LATERAL study will be conducted in three hospitals in China. We plan to recruit 80 patients per group and enroll patients consecutively over time and will conclude once the group with the smaller number of participants reaches 80 cases. Conclusion The results of this trial will contribute to confirming the role of SOI-SMIA in thyroid lobectomy for PTC, and provide evidence to support its wider adoption.https://doi.org/10.1186/s12893-025-03041-1Thyroid surgeryMulticenter prospective clinical trialSugery approachSugery incision
spellingShingle Cheng Qu
Yanbo Sun
Yanxue Wang
Bo Jiang
Chaoyu Jiang
Chen Zhang
Yue Wang
Jingchen Wang
Hua Xi
Yongzhao Chen
Dengyuan Yang
Yuqian Luo
Lei Su
Supraclavicular oblique incision sternocleidomastoid intermuscular approach versus traditional low collar incision linea Alba Cervicalis Approach in thyroid lobectomy (LATERAL study): the protocol for a multicenter prospective non-randomized controlled study
BMC Surgery
Thyroid surgery
Multicenter prospective clinical trial
Sugery approach
Sugery incision
title Supraclavicular oblique incision sternocleidomastoid intermuscular approach versus traditional low collar incision linea Alba Cervicalis Approach in thyroid lobectomy (LATERAL study): the protocol for a multicenter prospective non-randomized controlled study
title_full Supraclavicular oblique incision sternocleidomastoid intermuscular approach versus traditional low collar incision linea Alba Cervicalis Approach in thyroid lobectomy (LATERAL study): the protocol for a multicenter prospective non-randomized controlled study
title_fullStr Supraclavicular oblique incision sternocleidomastoid intermuscular approach versus traditional low collar incision linea Alba Cervicalis Approach in thyroid lobectomy (LATERAL study): the protocol for a multicenter prospective non-randomized controlled study
title_full_unstemmed Supraclavicular oblique incision sternocleidomastoid intermuscular approach versus traditional low collar incision linea Alba Cervicalis Approach in thyroid lobectomy (LATERAL study): the protocol for a multicenter prospective non-randomized controlled study
title_short Supraclavicular oblique incision sternocleidomastoid intermuscular approach versus traditional low collar incision linea Alba Cervicalis Approach in thyroid lobectomy (LATERAL study): the protocol for a multicenter prospective non-randomized controlled study
title_sort supraclavicular oblique incision sternocleidomastoid intermuscular approach versus traditional low collar incision linea alba cervicalis approach in thyroid lobectomy lateral study the protocol for a multicenter prospective non randomized controlled study
topic Thyroid surgery
Multicenter prospective clinical trial
Sugery approach
Sugery incision
url https://doi.org/10.1186/s12893-025-03041-1
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