Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Application of Laparoscopy in Gastrointestinal Injury

8. oktober 2017 opdateret af: Prof. Zongguang Zhou

Study of Laparoscopy in Gastrointestinal Injury

laparoscopy has been increasingly applied in patients with abdominal trauma , as an diagnostic and therapeutic modality. However, its clinical benefits are still under evaluation. The aim of this study is to prospectively assess the feasibility and safety of this technique in the management of traumatic gastrointestinal injury.

Studieoversigt

Status

Ukendt

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This prospective single arm study was undertaken in West China Hospital, Sichuan University, Chengdu, China. The institution is the largest medical center in southwest China, and also a national training center of laparoscopy. Surgeons participated in the study were well trained in gastrointestinal laparoscopy and hepatobiliary laparoscopy, and were experienced in management of abdominal trauma.

The study was approved by the institutional review committees. The participants provided written informed consent.

Patients age 18 years or older with abdominal trauma were considered eligible, regardless of the nature of trauma (blunt or penetrating), but hemodynamic stability was mandatory.

Patients meet the following criteria is prepared for laparoscopic exploration:

Evidence showed that wound penetrates the peritoneum in penetrating trauma or/and signs of peritoneal irritation or positive CT scan in those without penetration of peritoneum and patients with blunt injuries.

We defined the CT scan positive by it shows peritoneal effusion, free intraperitoneal air, fat density increase, substantive organ rupture and intestinal wall swelling and other signs of abdominal trauma.

Laparoscopic screening will be performed according to protocol. The study demands that all surgeons should complete the repair laparoscopically as much as possible when condition allow, and record reasons for conversion in detail when it is inevitable.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

100

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Kina
      • Beijing, Kina
        • Rekruttering
        • Chinese PLS General Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Lin Chen
      • Chongqing, Kina
        • Rekruttering
        • Southwest Hospital, The 3rd Militory Medical University
        • Kontakt:
        • Ledende efterforsker:
          • Peiwu Yu
    • Shanxi
      • Xian, Shanxi, Kina
        • Ikke rekrutterer endnu
        • Xijing Hospital, The 4th Militory Medical University
        • Kontakt:
        • Ledende efterforsker:
          • Kefeng Dou
    • Sichuan
      • Chengdu, Sichuan, Kina, 610041
        • Rekruttering
        • West China Hospital, Sichuan University
        • Kontakt:
          • Zongguang zhou, MD., PhD.
          • Telefonnummer: 18980601007
          • E-mail: zhou767@163.com
        • Ledende efterforsker:
          • Zongguang Zhou, MD., PhD.

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 60 år (Voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Clinical diagnosis of gastrointestinal trauma
  • Blood loss < 1000ml
  • Hemodynamically stable
  • Vital sign is stable
  • Willing to comply to the study procedure and complete the study.

Exclusion Criteria:

  • Severe hemorrhage or intraperitoneal infections
  • Combined with other conditions which are contraindications to laparoscopy
  • Pregnant or lactating woman
  • Severe immunodeficiency
  • History of drug abuse

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Laparoscopy
Laparoscopy has been increasingly applied in patients with abdominal trauma , as an diagnostic and therapeutic modality. In this arm, we will include 100 Hemodynamically stable patients with gastrointestinal trauma, all of them will receive laparoscopic exploration,laparoscopic repair of the gastrointestinal injury will be attempted.
Procedure: Laparoscopy
In this study, laparoscopic intervention will be performed under carbon dioxide pneumoperitoneum (pressure, 10-12 mm Hg; flow volume, 8-10 L/min). A 12-mm trocar will be placed in the umbilicus with use of an open technique and to establish pneumoperitoneum.A 10-mm and a 5-mm trocar will be inserted in the right and left flanks,respectively.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Mortality
Tidsramme: 3 month after operation
3 month after operation

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Længde af hospitalsophold
Tidsramme: 1 måned
1 måned
Number of iatrogenic injury during the operation
Tidsramme: at the end of the operation
at the end of the operation
Number of patients with postoperative complications
Tidsramme: up to 3 months
Postoperative complications include bowel obstruction, wound infection, postoperative hemorrhage,intestine fistula
up to 3 months
Operative time
Tidsramme: at the end of the operaion
at the end of the operaion
Blood loss during the operation
Tidsramme: at the end of the operation
at the end of the operation
Number of patients transferred to open operation
Tidsramme: at the end of the operation
at the end of the operation

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Prof. Zongguang Zhou

Efterforskere

  • Studiestol: Zongguang Zhou, MD., PhD, West China Hospital

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. januar 2014

Primær færdiggørelse (Forventet)

1. november 2017

Studieafslutning (Forventet)

1. december 2017

Datoer for studieregistrering

Først indsendt

11. november 2013

Først indsendt, der opfyldte QC-kriterier

20. november 2013

Først opslået (Skøn)

25. november 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

10. oktober 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

8. oktober 2017

Sidst verificeret

1. oktober 2017

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • LGI-201302016

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Gastrointestinal skade

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Oman

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

Abonner