腹腔镜下膀胱根治性切除—重建术的术式规范及疗效评估

注册号:

Registration number:

ChiCTR-TRC-10001003 

最近更新日期:

Date of Last Refreshed on:

2015-06-18 21:17:14 

注册时间:

Date of Registration:

2010-08-28 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

腹腔镜下膀胱根治性切除—重建术的术式规范及疗效评估

Public title:

Surgical Standarization and Treatment Assessment of Laparoscopic Radical Cystectomy-Bladder Reconstruction

注册题目简写:

English Acronym:

研究课题的正式科学名称:

腹腔镜下膀胱根治性切除—重建术的术式规范及疗效评估

Scientific title:

Surgical Standarization and Treatment Assessment of Laparoscopic Radical Cystectomy-Bladder Reconstruction

研究课题代号(代码):

Study subject ID:

2007018; 200802015

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:

张彩霞 

研究负责人:

黄健 

Applicant:

Cai-xia ZHANG 

Study leader:

Jian HUANG 

申请注册联系人电话:

Applicant telephone:

+86 20 81332336

研究负责人电话:

Study leader's
telephone:

+86 20 81332336

申请注册联系人传真 :

Applicant Fax:

+86 20 81332853

研究负责人传真:

Study leader's fax:

+86 20 81332853

申请注册联系人电子邮件:

Applicant E-mail:

zcx1025@163.com

研究负责人电子邮件:

Study leader's E-mail:

yehjn@yahoo.com.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

http://www.syshospital.com/

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

http://www.syshospital.com/

申请注册联系人通讯地址:

广东省广州市沿江西路107号

研究负责人通讯地址:

广东省广州市沿江西路107号

Applicant address:

107 W. Yanjiang Road, Guangzhou, Guangdong, China

Study leader's address:

107 W. Yanjiang Road, Guangzhou, Guangdong, China

申请注册联系人邮政编码:

Applicant postcode:

510120

研究负责人邮政编码:

Study leader's postcode:

510120

申请人所在单位:

中山大学孙逸仙纪念医院(中山大学附属第二医院)

Applicant's institution:

Sun Yat-sen Memorial Hospital of Sun Yat-sen University (The Second Affiliated 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:

2008伦审第(2)号

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

中山大学附属第二医院医学伦理委员会

Name of the ethic committee:

Ethic Committee of The Second Affiliated Hospital of Sun Yat-sen University

伦理委员会批准日期:

Date of approved by ethic committee:

2013-08-26 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:

中山大学孙逸仙纪念医院

Primary sponsor:

Sun Yat-sen Memorial Hospital

研究实施负责(组长)单位地址:

广东省广州市沿江西路107号

Primary sponsor's address:

107 West Yanjiangxi Road, Guangzhou, Guangdong, 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):

卫生部

具体地址:

北京

Institution
hospital:

Ministry of Health

Address:

Beijing

经费或物资来源:

中山大学

Source(s) of funding:

Sun Yat-sen Univeristy

研究疾病:

浸润性膀胱癌或多发性、复发性和低分化浅表性膀胱癌  

Target disease:

Muscle-invasive bladder cancer; multiple, recurrent or high-grade non-muscle invasive bladder 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:

1、通过临床实践不断改进和完善,形成腹腔镜下膀胱根治性切除-重建术的标准术式,并成为世界公认的术式; 2、明确腹腔镜膀胱全切除—重建术的临床疗效及并发症,为临床治疗选择手术方式提供有力证据。  

Objectives of Study:

1. To improve and standardize techiques of laparoscopic radical cystectomy-bladder reconstruction through clinical practice, and to applicate globally; 2. To assess the oncolgical, functional outcome and complications of laparoscopic radical cystectomy-bladder reconstruction, and provide evidence in choice of treatment.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 证实有远处转移;
2. 尿道断端2cm内有肿瘤,即男性膀胱颈以下有肿瘤,女性膀胱三角区以下有肿瘤;
3. 有膈肌裂孔疝、腹壁疝、腹壁肌松弛、盆底肌松弛等影响腹压的病变;
4. 存在前尿道狭窄;
5. 有明显肠道病变;
6. 既往有小肠切除史;
7. 血象、心、肺、肝、肾功能明显异常,代偿功能不足,或存在严重的全身系统疾病;
8. 女性压力性尿失禁或已作膀胱颈悬吊术;
9. 研究者认为应排除在本研究之外的其他任何情况。

Exclusion criteria:

1. Patient with distant metastasis disease;
2. Tumor in urethral (Tumor locate below bladder neck in male, and trigone of bladder in female);
3. Co-exist disease which may affect intraabdominal pressure (esophageal hiatal hernia, abdominal hernia, abnormal abdominal or pelvic straining);
4. Stricture of anterior urethra;
5. Co-exist intestinal disease;
6. Previous resection of small intestine;
7. Severe heart insufficiency, decompensated pulmonary, liver, renal functons, or other severe systemic disease;
8. Stress incontinence in femal or previous bladder nek suspension;
9. Other situation which was recognized should be excluded by the researcher.

研究实施时间:

Study execute time:

From 2008-01-24 00:00:00 To 2017-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2008-01-24 00:00:00 To 2012-12-31 00:00:00

干预措施:

Interventions:

组别:

试验组

样本量:

140

Group:

Experimental Group

Sample size:

干预措施:

腹腔镜下根治性膀胱全切除-原位回肠新膀胱术

干预措施代码:

Intervention:

Laparoscopic Radical Cystectomy with Orthotopic Ileal Neobladder

Intervention code:

组别:

对照组

样本量:

140

Group:

Control Group

Sample size:

干预措施:

开放性根治性膀胱全切除-原位回肠新膀胱术

干预措施代码:

Intervention:

Open Radical Cystectomy with Orthotopic Ileal Neobladder

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

中山大学孙逸仙纪念医院 

单位级别:

三级甲等 

Institution
hospital:

Sun Yat-sen Memorial Hospital of Sun Yat-sen University

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

中山大学附属第一医院 

单位级别:

三级甲等 

Institution
hospital:

First Affliated Hospital of Sun Yat-sen University

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

中山大学附属第三医院 

单位级别:

三级甲等 

Institution
hospital:

Third Affliated Hospital of Sun Yat-sen University

Level of the institution:

Tertiary A hospital

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

中山大学附属肿瘤医院 

单位级别:

三级甲等 

Institution
hospital:

Cancer center of Sun Yat-sen University

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

术后5年的肿瘤根治效果

指标类型:

主要指标

Outcome:

Oncological Outcome in 5 years

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、出血量、输血量

指标类型:

次要指标

Outcome:

Operative Time, Estimated Blood Loss, Transfution

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后1年的性功能

指标类型:

次要指标

Outcome:

Sexual Function at 1-year follow up

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后早期及晚期并发症发生率

指标类型:

次要指标

Outcome:

Postoperative early and late complications

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后1年的新膀胱功能

指标类型:

次要指标

Outcome:

Neobladder Function at 1-year follow u

Type:

Secondary 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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

计算机软件

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

Computer software

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:

术者 否 患者 否 统计分析者 是

Blinding:

Statistical Analysts: Blinding Patient: Not Blinding Surgeon: Not 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):

中山大学孙逸仙纪念医院

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

Sun Yat-sen Memorial Hospital of Sun Yat-sen University

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:

 2015-06-18 21:17:14