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出境医 / 临床实验 / Learning Curve for Robot-Assisted Gastrectomy in Gastric Cancer (LCFRAGIGC)

Learning Curve for Robot-Assisted Gastrectomy in Gastric Cancer (LCFRAGIGC)

Study Description
Brief Summary:
The investigators prospectively collected the clinical data of Da Vinci robot-assisted radical gastrectomy patients conducted by the same group of physicians from October 2017 to October 2018. The learning curve of the surgery was analyzed with the moving average method and the cumulative sum analysis (CUSUM). The short-term efficacy was then validated by comparing the perioperative and pathologic outcomes of patients in the two stages of the learning curve.

Condition or disease
Stomach Neoplasms

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 100 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Cumulative Summation Analysis of Learning Curve for Robot-Assisted Gastrectomy in Gastric Cancer
Actual Study Start Date : October 1, 2017
Estimated Primary Completion Date : December 31, 2019
Estimated Study Completion Date : February 28, 2020
Arms and Interventions
Outcome Measures
Primary Outcome Measures :
  1. Operation time,min [ Time Frame: 1 week ]
    The surgeon begins the operation until the incision is closed

  2. Docking time,min [ Time Frame: 1 week ]
    From the skin cutting through the observation hole to the robot moving to the designated position, the lens and the instrument arm enter the abdominal cavity and prepare for this period


Secondary Outcome Measures :
  1. Evaluated blood loss ,ml [ Time Frame: 1 week ]
    The amount of bleeding in the suction device plus the amount of bleeding dipped in the gauze

  2. Number of retrieved lymph nodes [ Time Frame: 1 week ]
    Refer to the postoperative pathology report

  3. Day of first flatus,day [ Time Frame: 2 week ]
  4. Day of first fluid diet,day [ Time Frame: 2 week ]
  5. the rate of postoperative complications [ Time Frame: 30 days after the operation ]
    Postoperative complications included infectious complications, intra-abdominal/intraluminal bleeding, gastric stasis and leakage

  6. postoperative hospital stay, days [ Time Frame: 30 days after the operation ]
    Length of postoperative hospital stay

  7. cost [ Time Frame: 30 days after the operation ]
    total cost in the hospital


Eligibility Criteria
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Ages Eligible for Study:   18 Years to 90 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
patients were scheduled to undergo minimally invasive gastric cancer surgery and meet the above conditions
Criteria

Inclusion Criteria:

  • 1.Patients were 18-90 years old
  • 2. Patients with a documented diagnosis of gastric adenocarcinoma
  • 3. patients were scheduled to undergo minimally invasive gastric cancer surgery
  • 4.patients with no preoperative evidence of serosal invasion or extraperigastric lymph node metastasis on preoperative computed tomography scans, upper endoscopy, and endoscopic ultrasound

Exclusion Criteria:

  • 1. Patients with neoadjuvant treatment
  • 2. Patients procedure concurrent with the gastrectomy
  • 3.Patients with palliative surgery
  • 4. Patients with the contraindications for general anesthesia
  • 5. Patients were pregnant or mentally incompetent
  • 6. Patients with serious systemic comorbidities, such as severe heart failure, respiratory failure, uncontrolled hypertension
Contacts and Locations

Contacts
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Contact: Junjun She, MD,PHD 0086-18991232713 junjunshe1975@sina.com

Locations
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China, Shaanxi
the First Affiliated Hospital of Xi'an Jiao Tong University Recruiting
Xi'an, Shaanxi, China, 710061
Contact: Bingyin Shi, MD,PHD         
Sponsors and Collaborators
First Affiliated Hospital Xi'an Jiaotong University
Tracking Information
First Submitted Date November 18, 2018
First Posted Date May 7, 2019
Last Update Posted Date May 7, 2019
Actual Study Start Date October 1, 2017
Estimated Primary Completion Date December 31, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: May 4, 2019)
  • Operation time,min [ Time Frame: 1 week ]
    The surgeon begins the operation until the incision is closed
  • Docking time,min [ Time Frame: 1 week ]
    From the skin cutting through the observation hole to the robot moving to the designated position, the lens and the instrument arm enter the abdominal cavity and prepare for this period
Original Primary Outcome Measures Same as current
Change History No Changes Posted
Current Secondary Outcome Measures
 (submitted: May 4, 2019)
  • Evaluated blood loss ,ml [ Time Frame: 1 week ]
    The amount of bleeding in the suction device plus the amount of bleeding dipped in the gauze
  • Number of retrieved lymph nodes [ Time Frame: 1 week ]
    Refer to the postoperative pathology report
  • Day of first flatus,day [ Time Frame: 2 week ]
  • Day of first fluid diet,day [ Time Frame: 2 week ]
  • the rate of postoperative complications [ Time Frame: 30 days after the operation ]
    Postoperative complications included infectious complications, intra-abdominal/intraluminal bleeding, gastric stasis and leakage
  • postoperative hospital stay, days [ Time Frame: 30 days after the operation ]
    Length of postoperative hospital stay
  • cost [ Time Frame: 30 days after the operation ]
    total cost in the hospital
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Learning Curve for Robot-Assisted Gastrectomy in Gastric Cancer
Official Title Cumulative Summation Analysis of Learning Curve for Robot-Assisted Gastrectomy in Gastric Cancer
Brief Summary The investigators prospectively collected the clinical data of Da Vinci robot-assisted radical gastrectomy patients conducted by the same group of physicians from October 2017 to October 2018. The learning curve of the surgery was analyzed with the moving average method and the cumulative sum analysis (CUSUM). The short-term efficacy was then validated by comparing the perioperative and pathologic outcomes of patients in the two stages of the learning curve.
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population patients were scheduled to undergo minimally invasive gastric cancer surgery and meet the above conditions
Condition Stomach Neoplasms
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Unknown status
Estimated Enrollment
 (submitted: May 4, 2019)
100
Original Estimated Enrollment Same as current
Estimated Study Completion Date February 28, 2020
Estimated Primary Completion Date December 31, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • 1.Patients were 18-90 years old
  • 2. Patients with a documented diagnosis of gastric adenocarcinoma
  • 3. patients were scheduled to undergo minimally invasive gastric cancer surgery
  • 4.patients with no preoperative evidence of serosal invasion or extraperigastric lymph node metastasis on preoperative computed tomography scans, upper endoscopy, and endoscopic ultrasound

Exclusion Criteria:

  • 1. Patients with neoadjuvant treatment
  • 2. Patients procedure concurrent with the gastrectomy
  • 3.Patients with palliative surgery
  • 4. Patients with the contraindications for general anesthesia
  • 5. Patients were pregnant or mentally incompetent
  • 6. Patients with serious systemic comorbidities, such as severe heart failure, respiratory failure, uncontrolled hypertension
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years to 90 Years   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries China
Removed Location Countries  
 
Administrative Information
NCT Number NCT03940417
Other Study ID Numbers XJTU1AF2019LSK-005
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Responsible Party First Affiliated Hospital Xi'an Jiaotong University
Study Sponsor First Affiliated Hospital Xi'an Jiaotong University
Collaborators Not Provided
Investigators Not Provided
PRS Account First Affiliated Hospital Xi'an Jiaotong University
Verification Date November 2018