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临床试验/NCT06654830
NCT06654830尚未招募2 期

Robotic-assisted Versus Video-assisted Thoracoscopic Thymectomy for Thymic Epithelial Tumor in Stage I-II: a Prospective, Multi-center, Randomized Controlled Trial

Shanghai Zhongshan Hospital0 个研究点目标入组 100 人开始时间: 2024年11月1日最近更新:
适应症

试验速览

阶段
2 期
状态
尚未招募
发起方
入组人数
100
主要终点
Postoperative draingage volume

研究概览

简要总结

This study is a prospective, multicenter, phase II randomized controlled trial. We plan to screen 100 eligible thymoma patients for robotic-assisted thoracoscopic thymectomy (RATT) or video-assisted thoracoscopic thymectomy (VATT) at three medical centers in China. The trial was aimed to compare the perioperative outcomes between the two approaches.

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
Single (Participant)

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Thymoma was diagnosed by chest enhanced CT or MRI (clinical stage: Masaoka Koga I-II) with AJCC/UICC TNM grade system (9th edition).
  • The patients whose tumor diameter was not larger than 8 cm; The patients with the estimated survival time should be over 12 months; ASA grade:1-2; The patients should have no functional disorders in main organs; The patients should be able to understand our research and sign the informed consent.

排除标准

  • Imaging examination showed that the tumor had invasion of surrounding organs, pleural or pericardial dissemination, lymphatic or hematogenous metastasis; Patients with myasthenia gravis; Patients had undergone a sternotomy; The patients have proved history of congestive heart failure, angina without good control with medicine; ECG-proved penetrating myocardial infarction; hypertension with bad control; valvulopathy with clinical significance; arrhythmia with high risk and out of control; The patients have severe systematic intercurrent disease, such as active infection or poorly controlled diabetes; coagulation disorders; hemorrhagic tendency or under treatment of thrombolysis or anticoagulant therapy; Female who is positive for serum pregnancy test or during lactation period; The patients have history of organ transplantation (including autologous bone marrow transplantation and peripheral stem cell transplantation; The patients have history of peripheral nerve system disorders, obvious mental disorders or central nerve system disorders; The patients attend other clinical trials.

结局指标

主要结局

Postoperative draingage volume

时间窗: Up to 7 days.

Postoperative draingage volume is the total draingage volume after surgery.

次要结局

  • complete recestion rate(Up to 7 days.)
  • the counts of lymph node sampling(From the time at start of the surgery to the time at end of the surgery. Up to 7 days.)
  • operative time(From the time at start of the surgery to the time at end of the surgery. Up to 7 days.)
  • bleeding volume(From the time at start of the surgery to the time at end of the surgery. Up to 7 days.)
  • duration of drainage(from the day of the surgery to the day of removal of drainage tubes. Up to 7 days.)
  • postoperative hospital stays(from the day of the surgery to the day of discharge. Up to 30 days)
  • re-operation rate(from the day of the surgery to the day of discharge. Up to 7 days)
  • C-reactive protein level at postoperaive day 1(from the day of the surgery to the day of discharge. Up to 7 days)
  • C-reactive protein level at postoperaive day 2(from the day of the surgery to the day of discharge. Up to 7 days)
  • serum interleukin-6 level at postoperaive day 1(from the day of the surgery to the day of discharge. Up to 7 days)
  • serum interleukin-6 level at postoperaive day 2(from the day of the surgery to the day of discharge. Up to 7 days)
  • serum procalcitonin level at postoperaive day 1(from the day of the surgery to the day of discharge. Up to 7 days)
  • serum procalcitonin level at postoperaive day 2(from the day of the surgery to the day of discharge. Up to 7 days)
  • pain visual analogue scale score at postoperative day 1, 2, 3 and 7(from the day of the surgery to the postoperative day 7. Up to 7 days)
  • quality of life score at postoperative day 30, 60 and 180(from the day of the surgery to the postoperative day 180. Up to 180 days)
  • complication rate(from the day of the surgery to the day of discharge. Up to 30 days)
  • 3-year disease-free survival(from the day of the surgery to the postoperative 3 years. Up to 3 years)
  • 3-year overall survival(from the day of the surgery to the postoperative 3 years. Up to 3 years)

研究者

发起方
Shanghai Zhongshan Hospital
申办方类型
Other
责任方
Sponsor

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