This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Retrojugular versus ventrojugular approach to carotid bifurcation for eversion endarterectomy: a prospective randomised trial. Eur J Vasc Endovasc Surg 2008; 35: 190-195.

Published: 1st January 2008

Authors: Stehr A, Scodacek D, Wustrack H, Steinbauer M, Topel I, Pfister K et al.

Conclusion

This trial was suspended after 101 patients had been randomized. Although there was no difference between the groups in standard clinical outcomes, vocal cord motility postoperatively was defective in 31 per cent after retrojugular, compared with six percent after standard dissection (P=0.0014). This difference had gone after six months: 2.4 per cent vs. none.

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