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临床试验/NCT01526655
NCT01526655已完成不适用

A Randomized Open Controlled Trial Comparing Robot Assisted Laparoscopic Hysterectomy and Abdominal Hysterectomy for Endometrial Cancer in a Fast Track Program

University Hospital, Linkoeping4 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2012年1月25日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
50
试验地点
4
主要终点
Health Related Quality of Life (HRQoL)

研究概览

简要总结

The purpose of the trial is to determine whether robot assisted laparoscopic hysterectomy compared with abdominal hysterectomy in a fast track program gives a faster recovery postoperatively, causes less tissue damage and less effects on the immunological system, and is health economically cost-effective.

详细描述

If detailed description is requested, please contact sponsor.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Over 18 years of age.
  • Scheduled to total hysterectomy + bilateral salpingooophorectomy (BSAE) and peritoneal lavage because of endometrial carcinoma, International federation of gynecology and obstetrics (FIGO) stage 1, grade 1 and 2, with diploid DNA profile (i.e. low risk profile).
  • WHO (World Health Organisation) performance status ≤
  • Proficiency in Swedish
  • Accept to participate in the study and has signed written informed consent document.
  • The operation should be considered possible to be perform laparoscopically and by laparotomy through a low transverse abdominal wall incision.

排除标准

  • The operation is anticipated to comprise more than the hysterectomy + BSAE.
  • A midline incision is planned for the laparotomy.
  • Contraindications towards spinal anesthesia with intrathecally applied morphine.
  • Physically disabled women who cannot be expected to be mobilized in accordance to the fast track program in a way similar to what is expected from not-physically disabled women.
  • Mentally disabled women who cannot fill in the questionnaires or understand the consequences of participating in a trial.
  • Severe psychiatric disease or on medication for psychiatric disease so that the physician consider participation in the trial inappropriate.

结局指标

主要结局

Health Related Quality of Life (HRQoL)

时间窗: Days 0, 1, 2, 3, 4, 5, 6, 7, 14, 21, 28, 35, 42

Quality of life measured by means of the EuroQol form (EQ-5D). The EQ-5D form was completed daily during the first eight days after surgery, then once weekly for additional six weeks. The health state index has a possible range from 0 to 1 with a higher score meaning a better quality of life.

次要结局

  • Changes in Biomarkers for Tissue Damage (C-reactive Protein (hsCRP))(One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.)
  • Changes in Biomarkers for Tissue Damage (Creatin Kinase (CK))(One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.)
  • Changes in Biomarkers for Tissue Damage (White Blood Cells (WBC))(One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.)
  • Health Economics (With 300 Robotic Procedures Annually)(From the day of surgery until six weeks after surgery.)
  • Changes in Biomarkers for Tissue Damage (Interleukin 6 (IL-6))(One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.)
  • Changes in Biomarkers for Tissue Damage (Cortisol)(One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.)
  • Health Economics (With 500 Robotic Procedures Annually)(From the day of surgery until six weeks after surgery.)

研究者

发起方
University Hospital, Linkoeping
申办方类型
Other
责任方
Principal Investigator
主要研究者

Preben Kjolhede, MD, professor

Professor

University Hospital, Linkoeping

研究点 (4)

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