Application of Laparoscopy in Gastrointestinal Injury

NCT ID: NCT01994148

Last Updated: 2017-10-10

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2017-12-31

Brief Summary

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laparoscopy has been increasingly applied in patients with abdominal trauma , as an diagnostic and therapeutic modality. However, its clinical benefits are still under evaluation. The aim of this study is to prospectively assess the feasibility and safety of this technique in the management of traumatic gastrointestinal injury.

Detailed Description

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This prospective single arm study was undertaken in West China Hospital, Sichuan University, Chengdu, China. The institution is the largest medical center in southwest China, and also a national training center of laparoscopy. Surgeons participated in the study were well trained in gastrointestinal laparoscopy and hepatobiliary laparoscopy, and were experienced in management of abdominal trauma.

The study was approved by the institutional review committees. The participants provided written informed consent.

Patients age 18 years or older with abdominal trauma were considered eligible, regardless of the nature of trauma (blunt or penetrating), but hemodynamic stability was mandatory.

Patients meet the following criteria is prepared for laparoscopic exploration:

Evidence showed that wound penetrates the peritoneum in penetrating trauma or/and signs of peritoneal irritation or positive CT scan in those without penetration of peritoneum and patients with blunt injuries.

We defined the CT scan positive by it shows peritoneal effusion, free intraperitoneal air, fat density increase, substantive organ rupture and intestinal wall swelling and other signs of abdominal trauma.

Laparoscopic screening will be performed according to protocol. The study demands that all surgeons should complete the repair laparoscopically as much as possible when condition allow, and record reasons for conversion in detail when it is inevitable.

Conditions

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Gastrointestinal Injury

Keywords

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Trauma Gastrointestinal injury Laparoscopy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Laparoscopy

Laparoscopy has been increasingly applied in patients with abdominal trauma , as an diagnostic and therapeutic modality. In this arm, we will include 100 Hemodynamically stable patients with gastrointestinal trauma, all of them will receive laparoscopic exploration,laparoscopic repair of the gastrointestinal injury will be attempted.

Group Type EXPERIMENTAL

Laparoscopy

Intervention Type PROCEDURE

In this study, laparoscopic intervention will be performed under carbon dioxide pneumoperitoneum (pressure, 10-12 mm Hg; flow volume, 8-10 L/min). A 12-mm trocar will be placed in the umbilicus with use of an open technique and to establish pneumoperitoneum.A 10-mm and a 5-mm trocar will be inserted in the right and left flanks,respectively.

Interventions

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Laparoscopy

In this study, laparoscopic intervention will be performed under carbon dioxide pneumoperitoneum (pressure, 10-12 mm Hg; flow volume, 8-10 L/min). A 12-mm trocar will be placed in the umbilicus with use of an open technique and to establish pneumoperitoneum.A 10-mm and a 5-mm trocar will be inserted in the right and left flanks,respectively.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of gastrointestinal trauma
* Blood loss \< 1000ml
* Hemodynamically stable
* Vital sign is stable
* Willing to comply to the study procedure and complete the study.

Exclusion Criteria

* Severe hemorrhage or intraperitoneal infections
* Combined with other conditions which are contraindications to laparoscopy
* Pregnant or lactating woman
* Severe immunodeficiency
* History of drug abuse
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Prof. Zongguang Zhou

OTHER

Sponsor Role lead

Responsible Party

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Prof. Zongguang Zhou

Director of gastrointestinal surgery center, WestChina Hospital

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Zongguang Zhou, MD., PhD

Role: STUDY_CHAIR

West China Hospital

Locations

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Xijing Hospital, The 4th Militory Medical University

Xian, Shanxi, China

Site Status NOT_YET_RECRUITING

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

Chinese PLS General Hospital

Beijing, , China

Site Status RECRUITING

Southwest Hospital, The 3rd Militory Medical University

Chongqing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zongguang Zhou, MD., PhD.

Role: CONTACT

Phone: 18980601007

Email: [email protected]

Yuan Yin, MD.

Role: CONTACT

Phone: 15680600588

Email: [email protected]

Facility Contacts

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Kefeng Dou, MD., PhD

Role: primary

Zongguang zhou, MD., PhD.

Role: primary

Lin Chen, MD., PhD.

Role: primary

Peiwu Yu, MD., PhD

Role: primary

Other Identifiers

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LGI-201302016

Identifier Type: -

Identifier Source: org_study_id