Trial Outcomes & Findings for Does 3D Laparoscopy Improve Vaginal Cuff Suture Time? (NCT NCT02192606)

NCT ID: NCT02192606

Last Updated: 2018-01-24

Results Overview

The primary endpoint is the vaginal cuff closure time at the time of a total laparoscopic hysterectomy. As the 2D laparoscopy system is standard during laparoscopic cases, our objective is to assess if there is a difference in vaginal cuff closure time when a 3D laparoscopy system is used instead. At time of the surgery, that patient will be randomized to either system. A resident or fellow will close the vaginal cuff and time to close the vaginal cuff will be recorded.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

57 participants

Primary outcome timeframe

Start of vaginal cuff closure to end of vaginal cuff closure

Results posted on

2018-01-24

Participant Flow

Participant milestones

Participant milestones
Measure
2D Laparoscopy
The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy 2D Laparoscopy: The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy.
3D Laparoscopy
The Storz 3D Laparoscopy System is the intervention we are studying at the time of the total laparoscopic hysterectomy. Storz 3D Laparoscopy System: The Storz 3D Laparoscopy System is a new device that allows for laparoscopic surgeons to utilize 3D imaging during surgery with a fraction of the cost of the da Vinci Surgical System, a three-dimensional visual system.
Overall Study
STARTED
29
28
Overall Study
COMPLETED
27
24
Overall Study
NOT COMPLETED
2
4

Reasons for withdrawal

Reasons for withdrawal
Measure
2D Laparoscopy
The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy 2D Laparoscopy: The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy.
3D Laparoscopy
The Storz 3D Laparoscopy System is the intervention we are studying at the time of the total laparoscopic hysterectomy. Storz 3D Laparoscopy System: The Storz 3D Laparoscopy System is a new device that allows for laparoscopic surgeons to utilize 3D imaging during surgery with a fraction of the cost of the da Vinci Surgical System, a three-dimensional visual system.
Overall Study
surgery type was changed
1
1
Overall Study
Physician Decision
1
2
Overall Study
3D equipment rep unable to join
0
1

Baseline Characteristics

Does 3D Laparoscopy Improve Vaginal Cuff Suture Time?

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
2D Laparoscopy
n=29 Participants
The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy 2D Laparoscopy: The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy.
3D Laparoscopy
n=28 Participants
The Storz 3D Laparoscopy System is the intervention we are studying at the time of the total laparoscopic hysterectomy. Storz 3D Laparoscopy System: The Storz 3D Laparoscopy System is a new device that allows for laparoscopic surgeons to utilize 3D imaging during surgery with a fraction of the cost of the da Vinci Surgical System, a three-dimensional visual system.
Total
n=57 Participants
Total of all reporting groups
Age, Continuous
27.5 years
STANDARD_DEVIATION 5.2 • n=5 Participants
43.9 years
STANDARD_DEVIATION 8.2 • n=7 Participants
42.7 years
STANDARD_DEVIATION 7.6 • n=5 Participants
Sex: Female, Male
Female
29 Participants
n=5 Participants
28 Participants
n=7 Participants
57 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
25 Participants
n=7 Participants
51 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Region of Enrollment
United States
18 participants
n=5 Participants
18 participants
n=7 Participants
36 participants
n=5 Participants
Region of Enrollment
Denmark
11 participants
n=5 Participants
10 participants
n=7 Participants
21 participants
n=5 Participants

PRIMARY outcome

Timeframe: Start of vaginal cuff closure to end of vaginal cuff closure

The primary endpoint is the vaginal cuff closure time at the time of a total laparoscopic hysterectomy. As the 2D laparoscopy system is standard during laparoscopic cases, our objective is to assess if there is a difference in vaginal cuff closure time when a 3D laparoscopy system is used instead. At time of the surgery, that patient will be randomized to either system. A resident or fellow will close the vaginal cuff and time to close the vaginal cuff will be recorded.

Outcome measures

Outcome measures
Measure
2D Laparoscopy
n=29 Participants
The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy 2D Laparoscopy: The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy.
3D Laparoscopy
n=28 Participants
The Storz 3D Laparoscopy System is the intervention we are studying at the time of the total laparoscopic hysterectomy. Storz 3D Laparoscopy System: The Storz 3D Laparoscopy System is a new device that allows for laparoscopic surgeons to utilize 3D imaging during surgery with a fraction of the cost of the da Vinci Surgical System, a three-dimensional visual system.
Vaginal Cuff Closure Times
10.17 minutes
Standard Deviation 5.98
12.54 minutes
Standard Deviation 6.99

SECONDARY outcome

Timeframe: Time of Procedure End

The secondary endpoint is the surgeon estimated blood loss at the time of a total laparoscopic hysterectomy.

Outcome measures

Outcome measures
Measure
2D Laparoscopy
n=29 Participants
The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy 2D Laparoscopy: The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy.
3D Laparoscopy
n=28 Participants
The Storz 3D Laparoscopy System is the intervention we are studying at the time of the total laparoscopic hysterectomy. Storz 3D Laparoscopy System: The Storz 3D Laparoscopy System is a new device that allows for laparoscopic surgeons to utilize 3D imaging during surgery with a fraction of the cost of the da Vinci Surgical System, a three-dimensional visual system.
Estimated Blood Loss at the Time of Total Laparoscopic Hysterectomy
55.74 millileters
Standard Deviation 39.36
60.83 millileters
Standard Deviation 62.32

Adverse Events

2D Laparoscopy

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

3D Laparoscopy

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
2D Laparoscopy
n=29 participants at risk
The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy 2D Laparoscopy: The standard 2D Laparoscopy System to be used at time of the total laparoscopic hysterectomy.
3D Laparoscopy
n=28 participants at risk
The Storz 3D Laparoscopy System is the intervention we are studying at the time of the total laparoscopic hysterectomy. Storz 3D Laparoscopy System: The Storz 3D Laparoscopy System is a new device that allows for laparoscopic surgeons to utilize 3D imaging during surgery with a fraction of the cost of the da Vinci Surgical System, a three-dimensional visual system.
Skin and subcutaneous tissue disorders
ER visit
0.00%
0/29 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
3.6%
1/28 • Number of events 1 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
Surgical and medical procedures
Reoperation for vaginal cuff dehiscence
0.00%
0/29 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
3.6%
1/28 • Number of events 1 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
Skin and subcutaneous tissue disorders
Iritation around abdominal surgical incision site
0.00%
0/29 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
3.6%
1/28 • Number of events 1 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
Infections and infestations
Incision cellulitis
0.00%
0/29 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
3.6%
1/28 • Number of events 1 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
Infections and infestations
Yeast infection
3.4%
1/29 • Number of events 1 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
0.00%
0/28 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
Injury, poisoning and procedural complications
Intraoperative complication
3.4%
1/29 • Number of events 1 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
0.00%
0/28 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
General disorders
Urinary retention
3.4%
1/29 • Number of events 1 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.
0.00%
0/28 • Adverse event data was collected from the day of surgery to 8 weeks following the operation.

Additional Information

Jon I. Einarsson

Brigham and Women's Hospital

Phone: 617-732-5500

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place