Prospective, Multicenter, Randomized Controlled Phase III Trial of Biological Mesh for Alimentary Tract Reconstruction in Digestive Surgery
The goal of the Phase III clinical trial is to evaluate whether using a biological mesh helps improve the efficacy and safety of alimentary tract reconstruction surgery. In digestive surgery, bleeding or leakage at the surgical connection (anastomosis) remains a significant clinical challenge. This study explores whether reinforcing the anastomosis with a biological mesh can effectively reduce these risks and significantly enhance the reliability of the surgical procedure.
The main objectives of this study are:
To evaluate the effectiveness of the biological mesh in reducing bleeding points at the surgical site during the procedure.
To assess the role of the mesh in lowering the risk of postoperative complications, such as anastomotic leaks or stenosis, within 90 days after surgery.
Study Groups:
Experimental Group: Participants who undergo alimentary tract reconstruction with biological mesh reinforcement during surgery.
Control Group: Participants who undergo conventional surgical procedures without the use of mesh.
Participant Flow:
Participants will undergo a health evaluation before surgery to confirm they meet the study criteria. Following the procedure, participants will receive standard postoperative care and return for follow-up clinic visits 30 and 90 days after surgery to monitor their recovery.
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Yanfeng Hu
- Puhelinnumero: +86 13632494551
- Sähköposti: yfenghu@qq.com
Opiskelupaikat
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Guangdong
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Guangzhou, Guangdong, Kiina, 510515
- Rekrytointi
- Nanfang Hospital, Southern Medical University
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Ottaa yhteyttä:
- Medical Ethics committee of NanFang Hospital
- Puhelinnumero: 020-62787238
- Sähköposti: nfyyec@163.com
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
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Aged 18 to 75 years (inclusive).
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Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1.
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American Society of Anesthesiologists (ASA) physical status classification of Grade I, II, or III.
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Scheduled for laparoscopic or open surgery involving gastrointestinal-related anastomosis.
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Participants must meet the following laboratory criteria:
- Hemoglobin (Hb) ≥ 90 g/L;
- White Blood Cell (WBC) count ≥ 3 × 10^9/L and ≤ 12 × 10^9/L;
- Platelet (PLT) count ≥ 100 × 10^9/L;
- Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) ≤ 2 × Upper Limit of Normal (ULN);
- Total Bilirubin (T-Bil) ≤ 1.5 × ULN;
- Serum Creatinine (Cr) ≤ 1 × ULN;
- Serum Albumin ≥ 30 g/L.
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Able to understand and sign the informed consent form.
Exclusion Criteria:
- Pregnant or lactating women, or women of childbearing potential with a positive pregnancy test.
- Patients with coagulation disorders.
- Severe liver disease (e.g., cirrhosis), kidney disease, respiratory disease, or uncontrolled chronic systemic diseases such as diabetes or hypertension.
- Clinically significant cardiac diseases, including congestive heart failure, symptomatic coronary artery disease, cardiac arrhythmias or hypertension poorly controlled by medication, myocardial infarction within the past 6 months, or cardiac insufficiency.
- Presence of severe uncontrolled recurrent infections.
- Known allergy or hypersensitivity to collagen or bovine-derived materials.
- Current participation in other clinical trials for drugs or medical devices that have not yet reached the primary endpoint time point.
- Any other medical condition (including follow-up and compliance issues) that, in the investigator's opinion, may or will interfere with the study process.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
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Kokeellinen: Experimental Group: Biological Mesh Reinforcement
Participants in this group will undergo alimentary tract reconstruction using a linear stapler with biological mesh reinforcement. During the procedure, researchers will record intraoperative raw data, including the number of bleeding points per unit length within 10 minutes after stapling, among other related clinical indicators. Following the surgery, participants will receive standard postoperative care. A 90-day monitoring period will be conducted to track anastomotic-related complications, specifically focusing on postoperative bleeding, leakage, stenosis, and other related conditions. |
A biological mesh specifically designed for reinforcement during alimentary tract reconstruction. It is used in conjunction with linear stapling devices during the surgical procedure to enhance the integrity of the anastomosis. The mesh provides mechanical support to the staple line, aiming to improve surgical outcomes by reducing intraoperative bleeding and the risk of postoperative complications, including leaks and stenosis, among other related conditions. |
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Active Comparator: Control Group: Conventional Stapling
Participants in this group will undergo conventional alimentary tract reconstruction using a linear stapler alone. Identical intraoperative raw data regarding bleeding points and other related clinical indicators will be recorded for baseline comparison. Following the surgery, participants will receive standard postoperative care. Consistent with the experimental group, a 90-day monitoring period will track anastomotic-related complications, such as postoperative bleeding, leakage, stenosis, and other related conditions. |
Participants will undergo conventional alimentary tract reconstruction using a linear stapler alone, without the use of reinforcing mesh. |
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Number of bleeding points per unit length
Aikaikkuna: Intraoperatively (within 10 minutes after stapling)
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The number of bleeding points on the staple line or anastomosis that require clinical hemostasis or suture reinforcement within 10 minutes after stapler firing, divided by the total length of the line. Observation sites include: gastric resection margins, duodenal closure margins, intestinal closure margins, gastrointestinal anastomosis, esophagogastric anastomosis, esophagojejunal anastomosis, enteroenteric anastomosis, and others. |
Intraoperatively (within 10 minutes after stapling)
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Number of arterial pulsatile bleeding points per unit length
Aikaikkuna: Intraoperatively (within 10 minutes after stapling)
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The number of arterial pulsatile bleeding points per unit length on the staple line or anastomosis requiring clinical hemostasis within 10 minutes after firing. Observation sites are consistent with the primary outcome. |
Intraoperatively (within 10 minutes after stapling)
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Time required for hemostatic management
Aikaikkuna: During the surgical procedure
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The total duration (in minutes) spent on performing additional hemostasis or reinforcement procedures for bleeding points at the anastomosis or staple line. |
During the surgical procedure
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Total operative time
Aikaikkuna: From the start of surgery to the end of surgery
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The total duration of the surgery. |
From the start of surgery to the end of surgery
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Incidence of anastomotic-related complications
Aikaikkuna: Up to 90 days post-surgery
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The percentage of participants experiencing complications specifically related to the surgical connection, including anastomotic bleeding, anastomotic leakage, and anastomotic stenosis. |
Up to 90 days post-surgery
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Yhteistyökumppanit ja tutkijat
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
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