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Ultrasonic Versus Conventional Clipping Hemostasis in Laparoscopic Colorectal Surgery

NCT07129512 · Yonsei University
In plain English

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Official title
Clipless Ultrasonic Energy-based Hemostasis Versus Conventional Clipping Hemostasis in Laparoscopic Colorectal Surgery: A Pilot Study
About this study
STUDY METHODS 1. Ethical committee approval The study protocol, patient informed consent form and other required study documentation will be reviewed and approved by an institutional review board or any other authority body, prior to study start-up. 2. Study duration and enrollment The total study duration will be approximately 5 years. Study enrollment will take approximately 18 months. The study subjects will have a short-term follow-up at 30 days after surgery. Surveillance will be performed according to standard follow-up guideline after colorectal cancer surgery. 3. Randomization A computerized random number table allocating subjects to treatment and control groups in a 1:1 ratio will be administered by a clinically blinded study coordinator, and allocation will be performed immediately after anesthesia in the operating room on the day of surgery. The principal investigator and administrator will be blinded. 4. Data collection Data will be collected at baseline, post-operative, discharge and 1 month. A screening log will be maintained at each site during the enrollment period, in which all patients eligible for the trial shall be identified. This will be maintained to ensure no patient selection bias occurs within a center or by a surgeon. 5. Informed Consent Using the study-specific, IRB approved, informed consent form, information pertinent to this study will be provided to the subjects in writing and in their native, non-technical, language. The consent form will include a description of the study and its purpose, potential benefits, potential risks, site contact information, and all other elements required of an informed consent. Subjects are required to voluntarily sign the informed consent form before any study-specific procedure is performed. The Investigator and/or his/her authorized designee, trained on the protocol and performing a consent, will conduct the informed consent process and will answer questions the subjects may have. If the subject agrees to participate, the informed consent form must be signed and dated by the subject or his/her legally authorized representative prior to enrollment in the study and separately signed and dated by the person taking consent. Only subjects who have signed the study informed consent will be included in the study. 6. Withdrawal and discontinuation The subject's participation in any clinical trial is voluntary. The subject has the right to withdraw at any time without penalty or loss of benefit. Study withdrawal means the subject is no longer participating in the study and no further follow-ups will be performed. All subjects that withdraw after informed consent is signed will be evaluated at the time of withdrawal. Every effort will be made to document the subject outcome at the time of withdrawal. The investigator has the right to discontinue subjects from the study at their discretion to ensure wellbeing of the subject. The reasons for withdrawal shall be documented. STUDY METHODS 1. Ethical committee approval The study protocol, patient informed consent form and other required study documentation will be reviewed and approved by an institutional review board or any other authority body, prior to study start-up. 2. Study duration and enrollment The total study duration will be approximately 5 years. Study enrollment will take approximately 18 months. The study subjects will have a short-term follow-up at 30 days after surgery. Surveillance will be performed according to standard follow-up guideline after colorectal cancer surgery. 3. Randomization A computerized random number table allocating subjects to treatment and control groups in a 1:1 ratio will be administered by a clinically blinded study coordinator, and allocation will be performed immediately after anesthesia in the operating room on the day of surgery. The principal investigator and administrator will be blinded. 4. Data collection Data will be collected at baseline, post-operative, discharge and 1 month. A screening log will be maintained at each site during the enrollment period, in which all patients eligible for the trial shall be identified. This will be maintained to ensure no patient selection bias occurs within a center or by a surgeon. 5. Informed Consent Using the study-specific, IRB approved, informed consent form, information pertinent to this study will be provided to the subjects in writing and in their native, non-technical, language. The consent form will include a description of the study and its purpose, potential benefits, potential risks, site contact information, and all other elements required of an informed consent. Subjects are required to voluntarily sign the informed consent form before any study-specific procedure is performed. The Investigator and/or his/her authorized designee, trained on the protocol and performing a consent, will conduct the informed consent process and will answer questions the subjects may have. If the subject agrees to participate, the informed consent form must be signed and dated by the subject or his/her legally authorized representative prior to enrollment in the study and separately signed and dated by the person taking consent. Only subjects who have signed the study informed consent will be included in the study. 6. Withdrawal and discontinuation The subject's participation in any clinical trial is voluntary. The subject has the right to withdraw at any time without penalty or loss of benefit. Study withdrawal means the subject is no longer participating in the study and no further follow-ups will be performed. All subjects that withdraw after informed consent is signed will be evaluated at the time of withdrawal. Every effort will be made to document the subject outcome at the time of withdrawal. The investigator has the right to discontinue subjects from the study at their discretion to ensure wellbeing of the subject. The reasons for withdrawal shall be documented. STUDY METHODS 1. Ethical committee approval The study protocol, patient informed consent form and other required study documentation will be reviewed and approved by an institutional review board or any other authority body, prior to study start-up. 2. Study duration and enrollment The total study duration will be approximately 5 years. Study enrollment will take approximately 18 months. The study subjects will have a short-term follow-up at 30 days after surgery. Surveillance will be performed according to standard follow-up guideline after colorectal cancer surgery. 3. Randomization A computerized random number table allocating subjects to treatment and control groups in a 1:1 ratio will be administered by a clinically blinded study coordinator, and allocation will be performed immediately after anesthesia in the operating room on the day of surgery. The principal investigator and administrator will be blinded. 4. Data collection Data will be collected at baseline, post-operative, discharge and 1 month. A screening log will be maintained at each site during the enrollment period, in which all patients eligible for the trial shall be identified. This will be maintained to ensure no patient selection bias occurs within a center or by a surgeon. 5. Informed Consent Using the study-specific, IRB approved, informed consent form, information pertinent to this study will be provided to the subjects in writing and in their native, non-technical, language. The consent form will include a description of the study and its purpose, potential benefits, potential risks, site contact information, and all other elements required of an informed consent. Subjects are required to voluntarily sign the informed consent form before any study-specific procedure is performed. The Investigator and/or his/her authorized designee, trained on the protocol and performing a consent, will conduct the informed consent process and will answer questions the subjects may have. If the subject agrees to participate, the informed consent form must be signed and dated by the subject or his/her legally authorized representative prior to enrollment in the study and separately signed and dated by the person taking consent. Only subjects who have signed the study informed consent will be included in the study. 6. Withdrawal and discontinuation The subject's participation in any clinical trial is voluntary. The subject has the right to withdraw at any time without penalty or loss of benefit. Study withdrawal means the subject is no longer participating in the study and no further follow-ups will be performed. All subjects that withdraw after informed consent is signed will be evaluated at the time of withdrawal. Every effort will be made to document the subject outcome at the time of withdrawal. The investigator has the right to discontinue subjects from the study at their discretion to ensure wellbeing of the subject. The reasons for withdrawal shall be documented. STUDY METHODS 1. Ethical committee approval The study protocol, patient informed consent form and other required study documentation will be reviewed and approved by an institutional review board or any other authority body, prior to study start-up. 2. Study duration and enrollment The total study duration will be approximately 5 years. Study enrollment will take approximately 18 months. The study subjects will have a short-term follow-up at 30 days after surgery. Surveillance will be performed according to standard follow-up guideline after colorectal cancer surgery. 3. Randomization A computerized random number table allocating subjects to treatment and control groups in a 1:1 ratio will be administered by a clinically blinded study coordinator, and allocation will be performed immediately after anesthesia in the operating room on the day of surgery. The principal investigator and administrator will be blinded. 4. Data collection Data will be collected at baseline, post-operative, discharge and 1 month. A screening log will be maintained at each site during the enrollment period, in which all patients eligible for the trial shall be identified. This will be maintained to ensure no patient selection bias occurs within a center or by a surgeon. 5. Informed Consent Using the study-specific, IRB approved, informed consent form, information pertinent to this study will be provided to the subjects in writing and in their native, non-technical, language. The consent form will include a description of the study and its purpose, potential benefits, potential risks, site contact information, and all other elements required of an informed consent. Subjects are required to voluntarily sign the informed consent form before any study-specific procedure is performed. The Investigator and/or his/her authorized designee, trained on the protocol and performing a consent, will conduct the informed consent process and will answer questions the subjects may have. If the subject agrees to participate, the informed consent form must be signed and dated by the subject or his/her legally authorized representative prior to enrollment in the study and separately signed and dated by the person taking consent. Only subjects who have signed the study informed consent will be included in the study. 6. Withdrawal and discontinuation The subject's participation in any clinical trial is voluntary. The subject has the right to withdraw at any time without penalty or loss of benefit. Study withdrawal means the subject is no longer participating in the study and no further follow-ups will be performed. All subjects that withdraw after informed consent is signed will be evaluated at the time of withdrawal. Every effort will be made to document the subject outcome at the time of withdrawal. The investigator has the right to discontinue subjects from the study at their discretion to ensure wellbeing of the subject. The reasons for withdrawal shall be documented. STUDY METHODS 1. Ethical committee approval The study protocol, patient informed consent form and other required study documentation will be reviewed and approved by an institutional review board or any other authority body, prior to study start-up. 2. Study duration and enrollment The total study duration will be approximately 5 years. Study enrollment will take approximately 18 months. The study subjects will have a short-term follow-up at 30 days after surgery. Surveillance will be performed according to standard follow-up guideline after colorectal cancer surgery. 3. Randomization A computerized random number table allocating subjects to treatment and control groups in a 1:1 ratio will be administered by a clinically blinded study coordinator, and allocation will be performed immediately after anesthesia in the operating room on the day of surgery. The principal investigator and administrator will be blinded. 4. Data collection Data will be collected at baseline, post-operative, discharge and 1 month. A screening log will be maintained at each site during the enrollment period, in which all patients eligible for the trial shall be identified. This will be maintained to ensure no patient selection bias occurs within a center or by a surgeon. 5. Informed Consent Using the study-specific, IRB approved, informed consent form, information pertinent to this study will be provided to the subjects in writing and in their native, non-technical, language. The consent form will include a description of the study and its purpose, potential benefits, potential risks, site contact information, and all other elements required of an informed consent. Subjects are required to voluntarily sign the informed consent form before any study-specific procedure is performed. The Investigator and/or his/her authorized designee, trained on the protocol and performing a consent, will conduct the informed consent process and will answer questions the subjects may have. If the subject agrees to participate, the informed consent form must be signed and dated by the subject or his/her legally authorized representative prior to enrollment in the study and separately signed and dated by the person taking consent. Only subjects who have signed the study informed consent will be included in the study. 6. Withdrawal and discontinuation The subject's participation in any clinical trial is voluntary. The subject has the right to withdraw at any time without penalty or loss of benefit. Study withdrawal means the subject is no longer participating in the study and no further follow-ups will be performed. All subjects that withdraw after informed consent is signed will be evaluated at the time of withdrawal. Every effort will be made to document the subject outcome at the time of withdrawal. The investigator has the right to discontinue subjects from the study at their discretion to ensure wellbeing of the subject. The reasons for withdrawal shall be documented. STUDY METHODS 1. Ethical committee approval The study protocol, patient informed consent form and other required study documentation will be reviewed and approved by an institutional review board or any other authority body, prior to study start-up. 2. Study duration and enrollment The total study duration will be approximately 5 years. Study enrollment will take approximately 18 months. The study subjects will have a short-term follow-up at 30 days after surgery. Surveillance will be performed according to standard follow-up guideline after colorectal cancer surgery. 3. Randomization A computerized random number table allocating subjects to treatment and control groups in a 1:1 ratio will be administered by a clinically blinded study coordinator, and allocation will be performed immediately after anesthesia in the operating room on the day of surgery. The principal investigator and administrator will be blinded. 4. Data collection Data will be collected at baseline, post-operative, discharge and 1 month. A screening log will be maintained at each site during the enrollment period, in which all patients eligible for the trial shall be identified. This will be maintained to ensure no patient selection bias occurs within a center or by a surgeon. 5. Informed Consent Using the study-specific, IRB approved, informed consent form, information pertinent to this study will be provided to the subjects in writing and in their native, non-technical, language. The consent form will include a description of the study and its purpose, potential benefits, potential risks, site contact information, and all other elements required of an informed consent. Subjects are required to voluntarily sign the informed consent form before any study-specific procedure is performed. The Investigator and/or his/her authorized designee, trained on the protocol and performing a consent, will conduct the informed consent process and will answer questions the subjects may have. If the subject agrees to participate, the informed consent form must be signed and dated by the subject or his/her legally authorized representative prior to enrollment in the study and separately signed and dated by the person taking consent. Only subjects who have signed the study informed consent will be included in the study. 6. Withdrawal and discontinuation The subject's participation in any clinical trial is voluntary. The subject has the right to withdraw at any time without penalty or loss of benefit. Study withdrawal means the subject is no longer participating in the study and no further follow-ups will be performed. All subjects that withdraw after informed consent is signed will be evaluated at the time of withdrawal. Every effort will be made to document the subject outcome at the time of withdrawal. The investigator has the right to discontinue subjects from the study at their discretion to ensure wellbeing of the subject. The reasons for withdrawal shall be documented. STUDY METHODS 1. Ethical committee approval The study protocol, patient informed consent form and other required study documentation will be reviewed and approved by an institutional review board or any other authority body, prior to study start-up. 2. Study duration and enrollment The total study duration will be approximately 5 years. Study enrollment will take approximately 18 months. The study subjects will have a short-term follow-up at 30 days after surgery. Surveillance will be performed according to standard follow-up guideline after colorectal cancer surgery. 3. Randomization A computerized random number table allocating subjects to treatment and control groups in a 1:1 ratio will be administered by a clinically blinded study coordinator, and allocation will be performed immediately after anesthesia in the operating room on the day of surgery. The principal investigator and administrator will be blinded. 4. Data collection Data will be collected at baseline, post-operative, discharge and 1 month. A screening log will be maintained at each site during the enrollment period, in which all patients eligible for the trial shall be identified. This will be maintained to ensure no patient selection bias occurs within a center or by a surgeon. 5. Informed Consent Using the study-specific, IRB approved, informed consent form, information pertinent to this study will be provided to the subjects in writing and in their native, non-technical, language. The consent form will include a description of the study and its purpose, potential benefits, potential risks, site contact information, and all other elements required of an informed consent. Subjects are required to voluntarily sign the informed consent form before any study-specific procedure is performed. The Investigator and/or his/her authorized designee, trained on the protocol and performing a consent, will conduct the informed consent process and will answer questions the subjects may have. If the subject agrees to participate, the informed consent form must be signed and dated by the subject or his/her legally authorized representative prior to enrollment in the study and separately signed and dated by the person taking consent. Only subjects who have signed the study informed consent will be included in the study. 6. Withdrawal and discontinuation The subject's participation in any clinical trial is voluntary. The subject has the right to withdraw at any time without penalty or loss of benefit. Study withdrawal means the subject is no longer participating in the study and no further follow-ups will be performed. All subjects that withdraw after informed consent is signed will be evaluated at the time of withdrawal. Every effort will be made to document the subject outcome at the time of withdrawal. The investigator has the right to discontinue subjects from the study at their discretion to ensure wellbeing of the subject. The reasons for withdrawal shall be documented.
Eligibility criteria
Inclusion Criteria: * Adults 19 to 80 years of age * Patients with histologically confirmed pathologic adenocarcinoma of the colon * Patients with an ECOG score between 0 and 2 * Patients with a preoperative ASA score of I to III * Patients without a history of surgery for abdominal malignancies * Patients with no history of anticoagulation prior to surgery * Patients who understand the study process and treatment plan and are able to complete the informed consent form themselves Exclusion Criteria: * Patients with an ASA score of 4 or higher * People with blood clotting disorders such as liver cirrhosis, end-stage renal failure, or hematologic disorders * Pregnant women * Mentally ill patients who have difficulty giving informed consent * Preoperative blood hemoglobin (Hb) less than 7 g/dL * Patients taking anticoagulants before or after surgery * Patients who have undergone emergency surgery * Patients who are unable to be followed up on an outpatient basi * No Informed consent
Study design
Enrollment target: 304 participants
Allocation: randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2024-03-04
Estimated completion: 2025-09-24
Last updated: 2025-08-19
Interventions
Procedure: Intracorporeal anastomosisProcedure: Extracorporeal anastomosis
Primary outcomes
  • Frequency of postoperative intra-abdominal bleeding with Clavien-Dindo grade II or higher (within 30 postoperative days)
Sponsor
Yonsei University · other
All locations (1)
Division of Colon and Rectal Surgery, Department of Surgery, Yonsei University College of MedicineRecruiting
Seoul, South Korea
Ultrasonic Versus Conventional Clipping Hemostasis in Laparoscopic Colorectal Surgery · TrialPath