A ProspectiveTrial Comparing THUNDERBEAT to the Ligasure Energy Device During Laparoscopic Colon Surgery
A Randomized Controlled Trial Comparing THUNDERBEAT to the Ligasure Energy Device During Laparoscopic Colon Surgery
Prospective randomized controlled study, at Colon and Rectal Surgery, WMC/NYPH. Subjects undergoing Laparoscopic Left Colectomy will be randomized into 1 of 2 groups based on the instrument used for tissue dissection and vessel ligation: Group 1 - THUNDERBEAT Group 2
- Ligasure Population
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Prospective randomized controlled study, at Colon and Rectal Surgery, WMC/NYPH. Subjects undergoing Laparoscopic Left Colectomy will be randomized into 1 of 2 groups based on the instrument used for tissue dissection and vessel ligation: Group 1 - THUNDERBEAT Group 2
- Ligasure Population: 60 subjects, with colon neoplasm or diverticulitis will be invited in the study after surgery is deemed necessary Study Procedures: This project will consist only of prospective data collection. No interventions will be done for research purpose. Data will be collected prospectively on: -Patients (before, during and after surgery) -The THUNDERBEAT and LigaSure instruments Data will be collected on data collection sheets and entered in a password protected database Primary Outcomes/Definitions- Overall time for dissection of the soft tissues necessary for specimen removal during colon resection, measured in minutes, from the start of colon mobilization to specimen removal from the abdominal cavity.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New York
-
New York, New York, United States, 10065
- Weill Cornell Medical Center- NYPH
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients that will be undergoing a Left Laparoscopic Colon Resection
- Older than 18 years old
- ASA 1 to 3
- Elective surgeries
- Patients who willingly provide informed consent
Exclusion Criteria:
- Morbidly obese patients (BMI >35)
- Patients with acute diverticulitis
- Patients with multiple previous abdominal surgeries
- Patients on anticoagulants
- Patients who can not, tolerate a major surgery
- Patients for whom electrosurgery is contraindicated
- Patients who are pregnant
- Patient with IBDs
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: THUNDERBEAT
THUNDERBEAT energy device ( Olympus) will be used for dissection of tissue and ligation of vessels
|
Tissue dissection and vessels ligation
|
|
Other: LIGASURE
LIGASURE energy device will be used for dissection of tissue and ligation of vessels
|
Tissue dissection and vessels ligation
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Time for Dissection of the Soft Tissues
Time Frame: Day 0 Surgical procedure
|
from the start of colon mobilization to specimen removal from the abdominal cavity
|
Day 0 Surgical procedure
|
|
Versatility Score
Time Frame: Day 0 Surgical procedure
|
Total/Composite score (composite of 5 variables:hemostasis;sealing;cutting;dissection;and tissue manipulation) was measured by a score system from 1 to 5 (1 being worst and 5 best) for each of the 5 variables,weighted by Coefficient of Importance with weight distribution as follow: hemostasis 0.275, sealing 0.275, cutting 0.2, dissection 0.15, and tissue Manipulation 0.1.).
The final reported score is a weighted average.
|
Day 0 Surgical procedure
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Length of Post Surgical Stay in the Hospital
Time Frame: from Surgery date to the discharge date from the hospital up to 30 days
|
Length of post surgical stay in the hospital measured in days
|
from Surgery date to the discharge date from the hospital up to 30 days
|
|
Dryness of the Surgical Field Average Score Mean/sd
Time Frame: Day 0 Surgical Procedure
|
Measured by score from 1 to 5 where 1 means Heavy bleeding , hemostasis achieved with the instrument with more than 2 attempts, and 5 means No oozing at vessel or tissue site in entire surgical field .
|
Day 0 Surgical Procedure
|
|
Intraoperative Complication Related to the Energy Devices
Time Frame: Day 0 Surgical procedure
|
Intraoperative adverse event occurrences during surgery due to the energy devices (THUNDERBEAT and LigaSure) measured as categorical variable "Yes" or "No"
|
Day 0 Surgical procedure
|
|
Delayed Thermal Injuries Related to Energy Devices
Time Frame: DAY 1 to DAY 30 Postsurgery
|
Delayed thermal injuries related to Energy devices that occur after surgery within 30 days of the surgical date, measured as categorical variables "Yes" or "No".
|
DAY 1 to DAY 30 Postsurgery
|
|
Operative Procedure Time
Time Frame: Day 0 Surgical Procedure
|
operative procedure time measured in minutes from the start of the incision to the last stitch in the closure of the surgical incision
|
Day 0 Surgical Procedure
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jeffrey Milsom, MD, WCMC
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1403014955
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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