MedPath

RATT Vs. VATT for Early-stage TETs

Phase 2
Not yet recruiting
Conditions
Thymic Epithelial Tumor
Registration Number
NCT06654830
Lead Sponsor
Shanghai Zhongshan Hospital
Brief Summary

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.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • 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.

Exclusion Criteria
  • 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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Postoperative draingage volumeUp to 7 days.

Postoperative draingage volume is the total draingage volume after surgery.

Secondary Outcome Measures
NameTimeMethod
re-operation ratefrom the day of the surgery to the day of discharge. Up to 7 days
C-reactive protein level at postoperaive day 1from the day of the surgery to the day of discharge. Up to 7 days
C-reactive protein level at postoperaive day 2from the day of the surgery to the day of discharge. Up to 7 days
serum interleukin-6 level at postoperaive day 1from the day of the surgery to the day of discharge. Up to 7 days
serum interleukin-6 level at postoperaive day 2from the day of the surgery to the day of discharge. Up to 7 days
serum procalcitonin level at postoperaive day 1from the day of the surgery to the day of discharge. Up to 7 days
serum procalcitonin level at postoperaive day 2from 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 7from the day of the surgery to the postoperative day 7. Up to 7 days
quality of life score at postoperative day 30, 60 and 180from the day of the surgery to the postoperative day 180. Up to 180 days
complication ratefrom the day of the surgery to the day of discharge. Up to 30 days
3-year disease-free survivalfrom the day of the surgery to the postoperative 3 years. Up to 3 years
3-year overall survivalfrom the day of the surgery to the postoperative 3 years. Up to 3 years
postoperative hospital staysfrom the day of the surgery to the day of discharge. Up to 30 days
operative timeFrom the time at start of the surgery to the time at end of the surgery. Up to 7 days.
bleeding volumeFrom the time at start of the surgery to the time at end of the surgery. Up to 7 days.
duration of drainagefrom the day of the surgery to the day of removal of drainage tubes. Up to 7 days.
the counts of lymph node samplingFrom the time at start of the surgery to the time at end of the surgery. Up to 7 days.
complete recestion rateUp to 7 days.
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