Laparoscopic Single Incision -Vs- Multiple Incision Gastric Band Surgery

NCT ID: NCT01844960

Last Updated: 2015-09-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2013-10-31

Brief Summary

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A double blinded randomised control trial comparing the differences between laparoscopic single incision versus multiple port bariatric surgery in morbidly obese patients (BMI\>35). Single incision surgery is a new minimally invasive surgical technique requiring the surgeon to operate through one small single incision and is virtually scarless. The traditional laparoscopic approach to abdominal surgery is through multiple small incisions (4-7 ports) across the whole abdomen. This study seeks to identify the risks, benefits and costs of the adjustable gastric band insertion via single incision and multiple incision within the morbidly obese patient group.

Detailed Description

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Conditions

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Surgery Post-operative Pain Post-operative Recovery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Multiple Incision Gastric Band Insertion

Current standard surgical approach for laparoscopic gastric band insertion

Group Type ACTIVE_COMPARATOR

Multiple Incision Gastric Band Insertion

Intervention Type PROCEDURE

Insertion of gastric band though multiple abdominal incisions

Single Incision Gastric Band Insertion

New surgical approach for gastric band insertion

Group Type EXPERIMENTAL

Single Incision Gastric Band Insertion

Intervention Type PROCEDURE

Insertion of gastric band though single abdominal incision

Interventions

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Single Incision Gastric Band Insertion

Insertion of gastric band though single abdominal incision

Intervention Type PROCEDURE

Multiple Incision Gastric Band Insertion

Insertion of gastric band though multiple abdominal incisions

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Morbidly obese patients, BMI ≥35 kg/m2
* Undergoing gastric band surgery
* Undergone a pre-weight loss surgery risk assessment
* Fit for anaesthesia and surgery
* Fulfil day surgery criteria
* Full understanding of bariatric procedure, with informed consent of the risks and benefits of laparoscopic single incision and multiple incision surgery

Exclusion Criteria

* Pregnancy
* History of portal hypertension
* Previous gastric surgery or large hiatus hernia
* Previous laparotomy or bariatric surgery
* Weight \>150kg (day surgery limit)
* Unwilling to consider surgical treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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King's College Hospital NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ameet G Patel, MS FRCS

Role: PRINCIPAL_INVESTIGATOR

King's College Hospital NHS Trust

Locations

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King's College Hospital NHS Foundation Trust

London, Greater London, United Kingdom

Site Status

Countries

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United Kingdom

References

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Patel AG, Murgatroyd B, Carswell K, Belgaumkar A. Fundus-first transumbilical single-incision laparoscopic cholecystectomy with a cholangiogram: a feasibility study. Surg Endosc. 2011 Mar;25(3):954-7. doi: 10.1007/s00464-010-1240-6. Epub 2010 Aug 19.

Reference Type BACKGROUND
PMID: 20721587 (View on PubMed)

Patel AG, Belgaumkar AP, James J, Singh UP, Carswell KA, Murgatroyd B. Video. Single-incision laparoscopic left lateral segmentectomy of colorectal liver metastasis. Surg Endosc. 2011 Feb;25(2):649-50. doi: 10.1007/s00464-010-1237-1. Epub 2010 Jul 22.

Reference Type BACKGROUND
PMID: 20652322 (View on PubMed)

Teixeira J, McGill K, Binenbaum S, Forrester G. Laparoscopic single-site surgery for placement of an adjustable gastric band: initial experience. Surg Endosc. 2009 Jun;23(6):1409-14. doi: 10.1007/s00464-009-0411-9. Epub 2009 Mar 14.

Reference Type BACKGROUND
PMID: 19288157 (View on PubMed)

de la Torre RA, Satgunam S, Morales MP, Dwyer CL, Scott JS. Transumbilical single-port laparoscopic adjustable gastric band placement with liver suture retractor. Obes Surg. 2009 Dec;19(12):1707-10. doi: 10.1007/s11695-009-9896-5.

Reference Type BACKGROUND
PMID: 19579051 (View on PubMed)

Nguyen NT, Slone J, Reavis K. Comparison study of conventional laparoscopic gastric banding versus laparoendoscopic single site gastric banding. Surg Obes Relat Dis. 2010 Sep-Oct;6(5):503-7. doi: 10.1016/j.soard.2009.10.001. Epub 2009 Nov 10.

Reference Type BACKGROUND
PMID: 19969508 (View on PubMed)

Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G, Farantos C, Benetatos N, Mavridou P, Manataki A. Different pain scores in single transumbilical incision laparoscopic cholecystectomy versus classic laparoscopic cholecystectomy: a randomized controlled trial. Surg Endosc. 2010 Aug;24(8):1842-8. doi: 10.1007/s00464-010-0887-3. Epub 2010 Feb 20.

Reference Type BACKGROUND
PMID: 20174950 (View on PubMed)

Patel AG, Murgatroyd B, Ashton WD. Single incision laparoscopic adjustable gastric banding: 111 cases. Surg Obes Relat Dis. 2012 Nov-Dec;8(6):747-51. doi: 10.1016/j.soard.2011.06.013. Epub 2011 Jul 13.

Reference Type BACKGROUND
PMID: 21890429 (View on PubMed)

Other Identifiers

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11/LO/1592

Identifier Type: -

Identifier Source: org_study_id

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