- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04972149
Cohort Study Comparing Surgeon Stress, Utilization of Surgical Instruments, Surgical Outcomes According to Surgical Approach for Gastrectomy
July 23, 2021 updated by: Yonsei University
A new surgical instrument is supposed to allow surgeon to do surgery with better performance.
However, the learning period before getting used to the new instruments is necessary.
The surgeon's stress to overcome the learning effect and the surgical outcome was rarely assessed.
The comparative analysis of surgical outcome, surgeon's stress, and utilization of instruments for gastrectomy will be performed in prospective cohort study
Study Overview
Status
Recruiting
Detailed Description
Before the surgery, all the eligible patients will be explained regarding the study and informed consent will be given.
During the surgery, the surgeon will wear heart rate monitoring device to monitor hear rate variability of the surgeon.
The surgical procedure will be recorded.
After the surgery, morbidity following surgery will be monitored and recorded.
At 1 month after surgery, additional morbidity will be recorded.
Study Type
Observational
Enrollment (Anticipated)
250
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Hyoung-Il Kim
- Phone Number: 82-2-2228-2095
- Email: cairus@yuhs.ac
Study Locations
-
-
-
Seoul, Korea, Republic of
- Recruiting
- Severance Hospital, Yonsei University Health System
-
Contact:
- Hyoung-Il Kim
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
No older than 90 years (Child, Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients with gastric cancer scheduled to undergo gastrectomy in high volume center
Description
Inclusion Criteria:
Patients with gastric cancer scheduled for gastrectomy
Exclusion Criteria:
Vulnerable subject (illiterate, pregnant)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
|---|
|
LC
laparoscopic surgery using conventional laparoscopic instruments
|
|
LW
Using wristed laparoscopic instruments (Artisential Maryland dissector, Artisential Fenestrated grasper)
|
|
RC
Conventional robotic surgery
|
|
RSS
Use of single site system for reduced port robotic surgery
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RSP
Use of da Vinci SP system for reduced port robotic surgery
|
|
RRI
A new surgical robot Revo-i developed by Meerae company in Korea
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
complication
Time Frame: 1 month after surgery
|
One of the most important surgical outcome, complication will be measured at 1 month after surgery
|
1 month after surgery
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
operative time (min)
Time Frame: 1 month after surgery
|
1 month after surgery
|
|
bleeding(ml)
Time Frame: 1 month after surgery
|
1 month after surgery
|
|
gas passing(day)
Time Frame: 1 month after surgery
|
1 month after surgery
|
|
hospital stay(day)
Time Frame: 1 month after surgery
|
1 month after surgery
|
|
readmission rate(percent)
Time Frame: 1 month after surgery
|
1 month after surgery
|
|
Heart rate variability of surgeon
Time Frame: during the operation
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during the operation
|
|
Duration for each surgical instruments
Time Frame: during the operation
|
during the operation
|
|
number of use for each surgical instruments
Time Frame: during the operation
|
during the operation
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Hyoung-Il Kim, Yonsei University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Kim HH, Hyung WJ, Cho GS, Kim MC, Han SU, Kim W, Ryu SW, Lee HJ, Song KY. Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report--a phase III multicenter, prospective, randomized Trial (KLASS Trial). Ann Surg. 2010 Mar;251(3):417-20. doi: 10.1097/SLA.0b013e3181cc8f6b.
- Grantcharov PD, Boillat T, Elkabany S, Wac K, Rivas H. Acute mental stress and surgical performance. BJS Open. 2018 Sep 27;3(1):119-125. doi: 10.1002/bjs5.104. eCollection 2019 Feb.
- Jeong O, Park YK. Clinicopathological features and surgical treatment of gastric cancer in South Korea: the results of 2009 nationwide survey on surgically treated gastric cancer patients. J Gastric Cancer. 2011 Jun;11(2):69-77. doi: 10.5230/jgc.2011.11.2.69. Epub 2011 Jun 30.
- Kim YM, Baek SE, Lim JS, Hyung WJ. Clinical application of image-enhanced minimally invasive robotic surgery for gastric cancer: a prospective observational study. J Gastrointest Surg. 2013 Feb;17(2):304-12. doi: 10.1007/s11605-012-2094-0. Epub 2012 Dec 1.
- Kitano S, Iso Y, Moriyama M, Sugimachi K. Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc. 1994 Apr;4(2):146-8. Erratum In: Surg Laparosc Endosc. 2013 Oct;23(5):480.
- Lee JH, Kim KM, Cheong JH, Noh SH. Current management and future strategies of gastric cancer. Yonsei Med J. 2012 Mar;53(2):248-57. doi: 10.3349/ymj.2012.53.2.248.
- Lee S, Kim JK, Kim YN, Jang DS, Kim YM, Son T, Hyung WJ, Kim HI. Safety and feasibility of reduced-port robotic distal gastrectomy for gastric cancer: a phase I/II clinical trial. Surg Endosc. 2017 Oct;31(10):4002-4009. doi: 10.1007/s00464-017-5435-y. Epub 2017 Feb 15.
- Liu ZY, Chen QY, Zhong Q, Xie JW, Wang JB, Lin JX, Lu J, Cao LL, Lin M, Tu RH, Huang ZN, Lin JL, Zheng HL, Zheng CH, Huang CM, Li P. Is three-dimensional laparoscopic spleen preserving splenic hilar lymphadenectomy for gastric cancer better than that of two-dimensional? Analysis of a prospective clinical research study. Surg Endosc. 2019 Oct;33(10):3425-3435. doi: 10.1007/s00464-018-06640-7. Epub 2019 Feb 26.
- Niitsu H, Hirabayashi N, Yoshimitsu M, Mimura T, Taomoto J, Sugiyama Y, Murakami S, Saeki S, Mukaida H, Takiyama W. Using the Objective Structured Assessment of Technical Skills (OSATS) global rating scale to evaluate the skills of surgical trainees in the operating room. Surg Today. 2013 Mar;43(3):271-5. doi: 10.1007/s00595-012-0313-7. Epub 2012 Sep 1.
- Pietrabissa A, Sbrana F, Morelli L, Badessi F, Pugliese L, Vinci A, Klersy C, Spinoglio G. Overcoming the challenges of single-incision cholecystectomy with robotic single-site technology. Arch Surg. 2012 Aug;147(8):709-14. doi: 10.1001/archsurg.2012.508.
- Vizza E, Corrado G, Mancini E, Baiocco E, Patrizi L, Fabrizi L, Colantonio L, Cimino M, Sindico S, Forastiere E. Robotic single-site hysterectomy in low risk endometrial cancer: a pilot study. Ann Surg Oncol. 2013 Aug;20(8):2759-64. doi: 10.1245/s10434-013-2922-9. Epub 2013 Mar 7.
- Yang SY, Roh KH, Kim YN, Cho M, Lim SH, Son T, Hyung WJ, Kim HI. Surgical Outcomes After Open, Laparoscopic, and Robotic Gastrectomy for Gastric Cancer. Ann Surg Oncol. 2017 Jul;24(7):1770-1777. doi: 10.1245/s10434-017-5851-1. Epub 2017 Mar 29.
- Zeng YK, Yang ZL, Peng JS, Lin HS, Cai L. Laparoscopy-assisted versus open distal gastrectomy for early gastric cancer: evidence from randomized and nonrandomized clinical trials. Ann Surg. 2012 Jul;256(1):39-52. doi: 10.1097/SLA.0b013e3182583e2e.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 18, 2021
Primary Completion (Anticipated)
May 9, 2022
Study Completion (Anticipated)
July 9, 2022
Study Registration Dates
First Submitted
July 4, 2021
First Submitted That Met QC Criteria
July 14, 2021
First Posted (Actual)
July 22, 2021
Study Record Updates
Last Update Posted (Actual)
July 26, 2021
Last Update Submitted That Met QC Criteria
July 23, 2021
Last Verified
July 1, 2021
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 4-2021-0409
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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