单孔腹腔镜根治性前列腺切除术的临床应用

注册号:

Registration number:

ChiCTR-ICR-15006701 

最近更新日期:

Date of Last Refreshed on:

2015-07-06 19:05:44 

注册时间:

Date of Registration:

2015-06-30 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

单孔腹腔镜根治性前列腺切除术的临床应用

Public title:

Clinical application of laparoendoscopic single-site surgery radical prostatectomy

注册题目简写:

English Acronym:

研究课题的正式科学名称:

单孔腹腔镜根治性前列腺切除术的临床应用

Scientific title:

Clinical application of laparoendoscopic single-site surgery radical prostatectomy

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

吴鹏杰 

研究负责人:

朱刚 

Applicant:

Pengjie Wu 

Study leader:

Gang Zhu 

申请注册联系人电话:

Applicant telephone:

+86 01 5210590922

研究负责人电话:

Study leader's
telephone:

+86 13801220723

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

wupengjiesan@163.com

研究负责人电子邮件:

Study leader's E-mail:

zhugang2000@aliyun.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

http://www.bjhmoh.cn/

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

http://www.bjhmoh.cn/

申请注册联系人通讯地址:

北京市东城区大华路1号

研究负责人通讯地址:

北京市东城区大华路1号

Applicant address:

1 Dahua Road, Dongcheng District, Beijing, China

Study leader's address:

1 Dahua Road, Dongcheng District, Beijing, China

申请注册联系人邮政编码:

Applicant postcode:

100730

研究负责人邮政编码:

Study leader's postcode:

100730

申请人所在单位:

北京医院

Applicant's institution:

Beijing Hospital

研究负责人所在单位:

Affiliation of the Leader:

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

暂无

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

北京医院伦理委员会

Name of the ethic committee:

Beijing Hospital EC

伦理委员会批准日期:

Date of approved by ethic committee:

1990-01-01 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

北京医院

Primary sponsor:

Beijing Hospital

研究实施负责(组长)单位地址:

北京市东城区大华路1号

Primary sponsor's address:

1 Dahua Road, Dongcheng District, Beijing, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京医院

具体地址:

北京市东城区大华路1号

Institution
hospital:

Beijing Hospital

Address:

1 Dahua Road, Dongcheng District, Beijing, China

经费或物资来源:

人力社会资源部

Source(s) of funding:

Human Resources and Social of China

研究疾病:

前列腺癌  

Target disease:

prostate cancer

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

利用前瞻性随机对照研究探讨单孔腹腔镜根治性前列腺切除术(LESS-RP)与标准腹腔镜根治性前列腺癌切除术(LRP)的优劣。  

Objectives of Study:

Our aims were to compare laparoendoscopic single-site surgery radical prostatectomy (LESS-RP) with conventional laparoscopic radical prostatectomy (LRP) and study their safety and efficacy by a prospective, randomized clinical trial (RCT).

药物成份或治疗方案详述:

患者平卧位。使用常规和商业化的直的腹腔镜器械(Olympus, Japan)和超声刀(爱惜康,美国),通过10毫米和12毫米凝胶阀门,整个过程不需要昂贵的咬合的或预弯的器械。组织钳夹和止血可通过左手的双极抓持器(GmbH, Germany)和右手5毫米超声刀实现。一个45厘米可回撤的吸引装置用于避免体外仪器碰撞。Hem-o-lok夹(Ethicon, USA)需要时通过12毫米凝胶阀。0.5毫米灵活腹腔镜光源 (Olympus, Japan)介绍了通过5毫米凝胶阀的QuadPort端口(Olympus, Japan)。首先脐下皮肤折皱处3.5-4cm切口;清除皮下脂肪暴露腹直肌筋膜。沿腹白线做一长约4cm的纵行切口。然后球形分离腹膜外间隙。QuadPort放置在腹直肌和腹膜之间。QuadPort由套筒和一个盖子组成,盖子上有一个12毫米,两个10毫米和一个5毫米凝胶阀门。有两种辅助的锁紧套口用于吹气和散烟。 

Description for medicine or protocol of treatment in detail:

The patient was positioned in safe flat supine position. Conventional and commercially available straight laparoscopic instruments (Olympus, Japan) and Harmonic scalpel (Ethicon, USA) were utilized through the 10 mm and 12 mm gel valves throughout the procedure without a requirement for more expensive articulating or pre-bent instruments. Tissue handling and haemostasis were achieved with a bipolar grasper (GmbH, Germany) in the left hand and a 5-mm Harmonic scalpel in the right hand. A 45cm suction device was applied in retraction and avoiding extracorporeal instrument clashing. Hem-o-lok clips (Teleflex Medical, USA) were applied when required through the 12 mm gel valve. The 0o lens 5mm flexible tip video-laparoscope Olympus EndoEYE (LFT-VP) (Olympus, Japan) was introduced through the 5 mm gel valve of QuadPort port (Olympus, Japan). An infra-umbilical skin-crease incision was made (3.5-4 cm) initially; the subcutaneous fat is cleared to expose the rectus fascia. A 4-cm vertical incision of the linea alba is performed. A balloon dissection of extra-peritoneal space was then carried out. The QuadPort was placed caudally between rectus muscles and peritoneum. The QuadPort consists of sleeve and a lid accommodating one 12 mm, two 10 mm and one 5 mm gel valves. There are two ancillary Luer-lock connectors for insufflation and smoke evacuation. 

纳入标准:

Inclusion criteria

排除标准:

1、患有显著增加手术危险性的合并疾病,如严重的心血管疾病、肺功能不良等。
2、患有严重出血倾向或血液凝固性疾病。
3、骨转移或其他远处转移。
4、预期寿命不足10年。

Exclusion criteria:

1. Severe complications:such as severe cardiovascular disease, pulmonary function, etc.;
2. Severe bleeding tendency or blood clotting disease;
3. Bone metastasis or other distant metastasis;
4. Life span <10 years.

研究实施时间:

Study execute time:

From 2012-09-01 00:00:00 To 1990-01-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2012-09-01 00:00:00 To 1990-01-01 00:00:00

干预措施:

Interventions:

组别:

A

样本量:

20

Group:

A

Sample size:

干预措施:

单孔腹腔镜前列腺癌根治术

干预措施代码:

Intervention:

LESS-RP

Intervention code:

组别:

B

样本量:

20

Group:

B

Sample size:

干预措施:

传统腹腔镜前列腺癌根治术

干预措施代码:

Intervention:

LRP

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京医院 

单位级别:

三甲医院 

Institution
hospital:

Beijing Hosipital

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

前列腺特异性抗原

指标类型:

主要指标

Outcome:

PSA

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

国际勃起功能指数(IIEF)

指标类型:

主要指标

Outcome:

IIEF

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

手术时间

指标类型:

主要指标

Outcome:

operative time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

出血量

指标类型:

主要指标

Outcome:

Blood loss

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

并发症

指标类型:

主要指标

Outcome:

complication

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

留置引流管时间

指标类型:

主要指标

Outcome:

wound-drainage time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疼痛指数(VAPS)

指标类型:

主要指标

Outcome:

post-operative pain score(VAPS)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院时间

指标类型:

主要指标

Outcome:

Hospitalization time

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

控尿状况

指标类型:

主要指标

Outcome:

continence

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

输血量

指标类型:

主要指标

Outcome:

blood transfusion

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

病理分期

指标类型:

主要指标

Outcome:

pathological stage

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

手术切缘

指标类型:

主要指标

Outcome:

surgical margins

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

征募研究对象情况:

Recruiting status:

暂停或中断

Suspending

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age years

性别:

男性

Gender:

Male

随机方法(请说明由何人用什么方法产生随机序列):

SAS9.2软件

Randomization Procedure (please state who generates the random number sequence and by what method):

SAS9.2

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2015-07-06 19:05:44