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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02757690
Other study ID # 2D vs 3D LDPS comparison
Secondary ID
Status Completed
Phase Phase 4
First received April 26, 2016
Last updated April 29, 2016
Start date January 2015
Est. completion date February 2016

Study information

Verified date April 2016
Source Asan Medical Center
Contact n/a
Is FDA regulated No
Health authority Korea: Ministry of Food and Drug Safety
Study type Interventional

Clinical Trial Summary

Traditionally, laparoscopy has been based on 2-dimensional (2D) imaging, which has represented a considerable challenge for those approaching this technique. Thus, 3-dimensional (3D) visualization technology for laparoscopy has been proposed, since the early 1990s, as a way to facilitate laparoscopic performance. However, early 3D laparoscopic technology was limited in terms of image quality, so that its use had not been implemented. More recently, industry has developed novel 3D systems where the imaging is similar to stereoscopic vision, in which the depth perception is achieved by different unique images received by each eye. Thus, more recent studies have suggested a possible advantage provided by these new 3D systems during laparoscopic performance. However, comparative assessments of new generation 3D vs 2D laparoscopy remain limited, especially in the hepatobiliary and pancreatic field.

To assess the benefits and harms of use of three dimensional systems versus two dimensional systems during laparoscopic distal pancreatectomy.


Description:

Procedures

1. the investigators will take the patient consent for this clinical trial.

2. The participants will be divided with two groups with block randomized method

3. Skillful pancreatic surgeon will perform 2D or 3D laparoscopic distal pancreatectomy.

4. The participants will be monitor the intraoperative and postoperative course.

Data collection

1. operation video : operation time, number of errors (missed grasp, loss of material)

1. Segmental operation time according to procedure

2. Numbers of errors during operation

2. clinical parameters:

1. Blood examination : complete blood count (hemoglobin, white blood cell count), amylase, lipase, etc.

2. Radiological examination: X-ray, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), etc

3. Medical records : hospital stay after operation, the time to eating, pathologic examination

3. Subjective scoring in the view of operator, 1st assist.

1. Scoring for imaging quality

2. Scoring for harms of 3D/2D laparoscopic system

3. Scoring for overall demand


Recruitment information / eligibility

Status Completed
Enrollment 60
Est. completion date February 2016
Est. primary completion date February 2016
Accepts healthy volunteers No
Gender Both
Age group 21 Years to 80 Years
Eligibility Inclusion Criteria:

- BMI > 30 (Kg/m2)

- History of severe or recurrent pancreatitis

- Mass size > 10cm

- History of low abdomen major operation

- Additional resection for extra-pancreatic organ

Exclusion Criteria:

- Participants refusal.

- Additional resection dependent on pathological examination in intraoperative or postoperative period.

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator)


Related Conditions & MeSH terms


Intervention

Device:
3-dimensional distal pancreatectomy
3D laparoscopy
2-dimensional distal pancreatectomy
2D laparoscopy

Locations

Country Name City State
n/a

Sponsors (2)

Lead Sponsor Collaborator
Asan Medical Center Olympus

Outcome

Type Measure Description Time frame Safety issue
Primary Operation time The unedited videos of the operations will be assessed from start to end of the operation by two clinicians. The average of operation time will be compare according to 2D versus 3D laparoscopic system. expected duration: 200mins (for each operation) Yes
Secondary Numbers of errors during operation The investigators will check the error number of operator during operation with review the video record of the operation During operation (expected duration: 200mins) Yes
Secondary Subjective scoring in the view of operator, 1st assist The investigators will check the subjective scoring of operator and 1st assist during operation. For example, depth perception, sharpness, visual strain, headache, etc. During operation (expected duration: 200mins) No