Betacyanin for Early Diagnosis and Recovery of Anastomotic Leakage After Rectal Cancer Surgery: A Single-Center, Prospective, Controlled Trial
A Single - Center, Prospective,Controlled Clinical Trial Exploring the Function of Betacyanin in the Early Diagnosis and Subsequent Recovery From Anastomotic Leakage After Rectal Cancer Surgery
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Bo Tang, MD
- Telefonnummer: +8613883902288
- E-mail: 2211934029@qq.com
Undersøgelse Kontakt Backup
- Navn: Qi Zhang
- Telefonnummer: +8613508876528
- E-mail: 502384305@qq.com
Studiesteder
-
-
Chongqing Municipality
-
Chongqing, Chongqing Municipality, Kina, 400030
- General Surgery Center of PLA
-
Kontakt:
- Bo Tang, MD
- Telefonnummer: +8613883902288
- E-mail: 2211934029@qq.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Pathologically confirmed rectal adenocarcinoma prior to surgery.
- Undergoing laparoscopic anterior resection for rectal cancer.
- No prophylactic diverting ileostomy.
- American Society of Anesthesiologists (ASA) Physical Status Classification ≤ 3.
- No prior history of malignant tumors, and no evidence of other malignancies on preoperative examination.
- Written informed consent obtained from the patient or a legally authorized representative.
Exclusion Criteria:
- Prior abdominal surgery with severe intra-abdominal adhesions.
- Currently participating in, or having participated within the past 6 months in, another clinical study related to rectal cancer surgery.
- Preoperative complications requiring emergency surgery, including bleeding, perforation, or obstruction.
- History of prior malignancy.
- Undergoing Parks procedure with anastomosis at the anal verge, or Miles procedure, or Hartmann's procedure.
- Preoperative neoadjuvant chemoradiotherapy, or presence of other high-risk factors for anastomotic leakage requiring a prophylactic diverting ileostomy.
- ASA Physical Status Classification > 3.
- Patient withdrawal of consent.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Diagnostisk
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Betacyanin + Conventional Monitoring
All eligible patients who undergo rectal cancer resection will receive the same intervention and monitoring protocol.
Starting from postoperative day 3, each patient will orally consume 200 mL of betacyanin solution daily (concentration and formulation as specified in the study protocol).
Concurrently, pelvic drainage fluid will be collected daily to measure betacyanin concentration as a potential biomarker for early detection of anastomotic leakage.
In parallel, conventional diagnostic methods for anastomotic leakage-including clinical symptom assessment, routine laboratory tests (e.g., white blood cell count, C-reactive protein), and imaging studies when clinically indicated-will be performed on the same patients at the same time points.
Thus, each patient serves as his/her own control, allowing a direct comparison of diagnostic accuracy and healing evaluation between betacyanin-based monitoring and conventional approaches.
The intervention and monitoring will continue daily until h
|
200 mL oral betacyanin solution administered daily from postoperative day 3 until discharge or confirmation of anastomotic leakage
Daily measurement of betacyanin concentration in pelvic drainage fluid for early detection of anastomotic leakage
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Time to Diagnosis of Anastomotic Leakage
Tidsramme: Within 30 days after surgery
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Within 30 days after surgery
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Diagnostic Performance of Betacyanin for Anastomotic Leakage
Tidsramme: Within 30 days after surgery
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Within 30 days after surgery
|
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Time to Healing of Anastomotic Leakage
Tidsramme: Within 30 days after surgery
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Within 30 days after surgery
|
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Incidence of Postoperative Grade III-IV Complications
Tidsramme: Within 30 days after surgery
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Within 30 days after surgery
|
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Reoperation Rate
Tidsramme: Within 30 days after surgery
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Within 30 days after surgery
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Length of Postoperative Hospital Stay
Tidsramme: From surgery to hospital discharge, assessed up to 30 days
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From surgery to hospital discharge, assessed up to 30 days
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30-Day Readmission Rate
Tidsramme: Within 30 days after hospital discharge
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Within 30 days after hospital discharge
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Cost of Anastomotic Leakage Diagnosis
Tidsramme: During index hospitalization, assessed up to 30 days
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During index hospitalization, assessed up to 30 days
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Total Hospitalization Cost
Tidsramme: During index hospitalization, assessed up to 30 days
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During index hospitalization, assessed up to 30 days
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Postoperative komplikationer
- Patologiske processer
- Neoplasmer efter sted
- Neoplasmer
- Tarmsygdomme
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Sygdomme i fordøjelsessystemet
- Gastrointestinale sygdomme
- Kolorektale neoplasmer
- Intestinale neoplasmer
- Endetarmssygdomme
- Patologiske tilstande, tegn og symptomer
- Rektale neoplasmer
- Sygdom
- Anastomotisk lækage
- Aminosyrer, peptider og proteiner
- Organiske kemikalier
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Alkaloider
- Aminer
- Piperidiner
- Aminosyrer
- Kvaternære ammoniumforbindelser
- Oniumforbindelser
- Aminosyrer, aromatisk
- Aminosyrer, cykliske
- Tyrosin
- Betalains
- Betacyanins
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- TBo20251116
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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