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Trial registered on ANZCTR
Registration number
ACTRN12612001219875
Ethics application status
Not yet submitted
Date submitted
4/11/2012
Date registered
19/11/2012
Date last updated
2/01/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Robot-assisted laparoscopic radical prostatectomy versus laparoscopic radical prostatectomy: A comparison of one surgeon's outcomes
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Scientific title
Effectiveness and Safety of robot-assisted laparosopic radical prostatectomy versus laparoscopic radical prostatectomy in patients with prostate cancer by one experienced laparoscopic surgeon :A prospective controlled Trial from China
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Secondary ID [1]
280639
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
prostate cancer
286654
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Surgical techniques for prostatectomy
287777
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Condition category
Condition code
Cancer
286945
286945
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0
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Prostate
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Surgery
288126
288126
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
25 male patients with clinically localized prostatic carcinoma underwent prostatectomy by robot-assisted approach by a single surgeon(using the da Vinci Surgical System). The estimated operative time is around 3-4hours.The surgical technique are transperitoneally,antegrade, energy-free (use of surgical suture needle to control the prostatic
vascular structure with no use of thermocoagulation,
either mono or bipolar at the lateral
aspect of the prostate)
Participants will be monitored for 1 year post surgery
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Intervention code [1]
285035
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Treatment: Surgery
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Comparator / control treatment
25 male patients with clinically localized prostatic carcinoma underwent prostatectomy by laparoscopic approach by a single surgeon. The estimated operative time is around 4-5 hours. The surgical technique are the same with Robot-assisted.
Participants will be monitored for 1 year post surgery
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Control group
Active
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Outcomes
Primary outcome [1]
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Continence
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Assessment method [1]
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Timepoint [1]
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Continence was defined as no leakage or as no
need of use of any protective pad.Continence were
assessed by telephone interview at 1, 3, 6, and 12
months after surgery.
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Primary outcome [2]
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Potency
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Assessment method [2]
287288
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Timepoint [2]
287288
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Potency was defined both as capability of intercourse
(with or without phosphodiesterase type 5 [PDE5] inhibitors).Capability of intercourse were
assessed by telephone interview at 1, 3, 6, and 12
months after surgery. Capability of intercourse
was assessed through the questions (Were you able to insert
your penis into your partner's vagina? Did your
erection last long enough to have successful intercourse?).
If the patient affirmed that he was able to
get an erection firm enough for sexual intercourse,
he was further asked about the use or not of PDE5
inhibitors and the frequency of this use.
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Primary outcome [3]
287289
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postoperative positive margin
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Assessment method [3]
287289
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Timepoint [3]
287289
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Positive surgical margin (PSM) was considered
when cancer cells were found in contact with
the ink-marked resection margin.A PSM < 1 mm
was defined focal. The TNM 2002 classification
was used for the staging.The PSM will be assessed by postoperative pathological report. The report were reviewed 1 week after surgery.
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Secondary outcome [1]
297837
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blood loss(ml)
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Assessment method [1]
297837
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Timepoint [1]
297837
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blood loss will be assessed by vacuum extractor .And the amount of bleeding were recorded in the operative records. The records were reviewed 1 day after surgery.
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Secondary outcome [2]
297838
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Total operative time
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Assessment method [2]
297838
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Timepoint [2]
297838
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Total operative time was regarded as the time between initiation of the skin incision and end of wound closure according to operative records. The operative records were reviewed 1 week after surgery
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Eligibility
Key inclusion criteria
(1) Prostate cancer patients diagnosed by pathologic examination , The life expectancy of more than 10 years, localized prostate cancer(T1a-T2c) (2) written informed consent was obtained.
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Minimum age
40
Years
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Maximum age
75
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
(1)Lymphatic metastasis and bone metastasis assessed by computed tomography, magnetic resonance imaging,Positron Emission Computed Tomography ; (2) patients had received neoadjuvant chemotherapy;(3) complicated by cardiopulmonary dysfunction,celiac inflammation,coagulation abnormalities
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
serially numbered, opaque, sealed envelopes.When researchers identified the conformity of subjects, the envelopes are opened and the subjects are assigned to the corresponding test group
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
enter the website which is 'http://www.random.org/integers' to get the computerised sequence generation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
20/03/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4351
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China
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State/province [1]
4351
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Shanghai
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Funding & Sponsors
Funding source category [1]
285406
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Self funded/Unfunded
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Name [1]
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Address [1]
285406
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Country [1]
285406
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China
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Primary sponsor type
Hospital
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Name
Changhai Hospital
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Address
Department of Urology, Changhai Hospital, Second Military Medical University,168 Changhai road yangpu district Shanghai
200433
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Country
China
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Secondary sponsor category [1]
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None
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Name [1]
284258
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Address [1]
284258
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Country [1]
284258
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
288345
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Changhai Hospital Ethics Committee
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Ethics committee address [1]
288345
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Department of Urology, Changhai Hospital, Second Military Medical University,168 Changhai road yangpu district Shanghai 200433
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Ethics committee country [1]
288345
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China
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Date submitted for ethics approval [1]
288345
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10/02/2012
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Approval date [1]
288345
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Ethics approval number [1]
288345
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Summary
Brief summary
We assessed the learning curve for an experienced laparoscopic surgeon during the transition for laparoscopic surgery to the robot-assisted operations.So we conducted the RCT and compared the perioperative outcomes of the 2 groups.One group were 25 cases of laparoscopicradical prostatectomy and another were 25 cases of robot-assisted laparoscopic prostate cancer
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Gaoxu
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Address
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Department of Urology, Changhai Hospital, Second Military Medical University
168 Changhai road yangpu district Shanghai(200433)
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Country
34284
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China
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Phone
34284
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+8602131161718
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Fax
34284
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Email
34284
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[email protected]
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Contact person for public queries
Name
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Gaoxu
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Address
17531
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Department of Urology, Changhai Hospital, Second Military Medical University
168 Changhai road yangpu district Shanghai(200433)
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Country
17531
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China
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Phone
17531
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+8602131161718
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Fax
17531
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Email
17531
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[email protected]
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Contact person for scientific queries
Name
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Wang Hai-feng
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Address
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Department of Urology, Changhai Hospital, Second Military Medical University
168 Changhai road yangpu district Shanghai(200433)
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Country
8459
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China
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Phone
8459
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+8602131161718
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Fax
8459
0
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Email
8459
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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