Safety and Efficacy Study of Transumbilical Laparoendoscopic Single Site Cholecystectomy
Recruitment status was Recruiting
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Purpose
The purpose of this study is to scientifically evaluate the safety, efficacy and cosmetic results of transumbilical laparoendoscopic single site cholecystectomy.
| Condition | Intervention | Phase |
|---|---|---|
|
Gallstone Gallbladder Polyps |
Procedure: CLC Procedure: TU-LESSC |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Randomized Controlled Trial Of Transumbilical Laparoendoscopic Single Site Cholecystectomy Versus Conventional Laparoscopic Cholecystectomy |
- the incidence of surgical complications [ Time Frame: up to 12 weeks ] [ Designated as safety issue: Yes ]The primary outcome messures are the incidence of surgical complications caused by the two surgeries.Bleeding,bile duct injury and bile leakage during operation.Wound infection,umbilical hernia,poke holes hernia and biliary fistula after operation.
- transfer rate [ Time Frame: participants will be followed for the duration of hospital stay, an expected average of 5 days ] [ Designated as safety issue: Yes ]TU-LESSC(transumbilical laparoendoscopic single site cholecystectomy)is converted to LC(laparoscopic cholecystectomy)or open sugery;LC is converted to open sugery.
- quality of life scores [ Time Frame: up to 12 weeks ] [ Designated as safety issue: Yes ]Count patients' quality of life scores before sugery and at several time points after operation.
- pain scores [ Time Frame: up to 12 weeks ] [ Designated as safety issue: No ]Use VAS(Visual Analogue Score)to count patients' pain scores at several time points after operation.
- length of hospital stay [ Time Frame: participants will be followed for the duration of hospital stay, an expected average of 5 days ] [ Designated as safety issue: No ]
- total cost of hospitalization [ Time Frame: participants will be followed for the duration of hospital stay, an expected average of 5 days ] [ Designated as safety issue: No ]
- Cosmetic results [ Time Frame: 1 month ] [ Designated as safety issue: No ]Through the incision length and patients' satisfaction to assess cosmetic results.
- The incidence of adverse events [ Time Frame: up to 12 weeks ] [ Designated as safety issue: Yes ]The adverse events occurred after surgery,regardless of whether they are caused by the tow operations。 Such as nausea, dizziness, urinary retention, vomiting and so on.
| Estimated Enrollment: | 600 |
| Study Start Date: | October 2010 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy(4 ports or 3 ports)will be performed in a routine fashion by one full time faculty member with fellowship training in laparoscopy.
|
Procedure: CLC
CLC(4 ports or 3 ports)will be performed in a routine fashion by one full time faculty member with fellowship training in laparoscopy.
Other Name: conventional laparoscopic cholecystectomy
|
|
Active Comparator: TU-LESSC
TU-LESSC will be performed in a routine fashion which is same to CLC(conventional laparoscopic cholecystetomy)by one full time faculty member with fellowship training in laparoscopy through the conventional laparoscopic instruments.
|
Procedure: TU-LESSC
TU-LESSC will be performed in a routine fashion which is same to CLC by one full time faculty member with fellowship training in laparoscopy through the conventional laparoscopic instruments.
Other Name: Transumbilical laparoendoscopic single site cholecystectomy
|
Detailed Description:
As the natural orifice during embryonic, the transumbilical surgery not only can mask the abdominal scar and avoid infection produced by puncturing stomach, vagina or rectum in NOTES,but also can be played by the conventional laparoscopic instruments. TU-LESS (transumbilical laparoendoscopic single site surgery), is considered to be the most feasible NOTES(natural orifice transluminal endoscopic surgery)technology at present. Researches about TU-LESS mostly are case reports and small samples or the control experiments up to now,there are not persuasive randomized controlled trail between TU-LESS and conventional laparoscopic cholecystectomy. So the investigators design this prospective randomized controlled trail to scientifically evaluate the safety, efficacy and cosmetic results of transumbilical laparoendoscopic single site cholecystectomy .
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 18 Years to 5 Years
- Benign gallbladder diseases
- KPS ≥ 70
- informed consent
Exclusion Criteria:
- Obstructive jaundice
- Broadening of the common bile duct
- Gallstone pancreatitis
- Serious heart,brain,lung, metabolic diseases history
- History of upper abdominal surgery
- Pregnancy or breast-feeding women
- Refuse TU-LESSC
- BMI(Body Mass Index)≥ 30
Contacts and Locations| Contact: Yang Liu, master | +8615001284594 | liuyangzhanglina@163.com |
| Contact: Wei Guo, doctor | +8613910950019 | guoweipk@yahoo.com.cn |
| China, Bejing | |
| Bejing Friendship Hospital | Recruiting |
| Bejing, Bejing, China, 100050 | |
| Principal Investigator: Zhang Z Tao, Doctor | |
| Study Chair: | Zhongtao Zhang, doctor | Beijing Friendship Hospital |
More Information
No publications provided
| Responsible Party: | Beijing Friendship Hospital |
| ClinicalTrials.gov Identifier: | NCT01383031 History of Changes |
| Other Study ID Numbers: | BFH-007 |
| Study First Received: | June 17, 2011 |
| Last Updated: | July 6, 2011 |
| Health Authority: | China: Food and Drug Administration |
Keywords provided by Beijing Friendship Hospital:
|
laparoscopic cholecystectomy single site randomized controlled trail |
Additional relevant MeSH terms:
|
Gallstones Cholelithiasis Cholecystolithiasis Biliary Tract Diseases |
Digestive System Diseases Gallbladder Diseases Calculi Pathological Conditions, Anatomical |
ClinicalTrials.gov processed this record on May 23, 2013