The Impact of Laparoscopic Versus Open Surgeries on the Incidence of Postoperative Deep Vein Thrombosis in Patients With Gastrointestinal Malignancy ---A Cohort Study

NCT ID: NCT02297269

Last Updated: 2014-11-21

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

Total Enrollment

230 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-12-31

Study Completion Date

2016-01-31

Brief Summary

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Deep vein thrombosis (DVT) is a common complication of surgery, which could result in pulmonary embolism (PE). PE is a serious and potentially life-threatening syndrome. The purpose of this study is to investigate the impact of laparoscopic versus open surgeries on the incidence of postoperative DVT in patients with gastrointestinal malignancy

Detailed Description

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Compared with open surgery (OS), the laparoscopic surgery (LS) can conduct less invasion, less pain and decrease the rate of wound infection and probably improve the quality of life for patients. For these benefits, laparoscopic surgery was widely used for gastrointestinal surgery. DVT is a common complication of surgery. However, whether LS can reduce the incidence of postoperative DVT is unclear. So the investigators conduct a cohort study, with a sufficient sample size in a rigorous scientific overview, to investigate the impact of laparoscopic versus open surgeries on the incidence of postoperative DVT in patients with gastrointestinal malignancy.

This study was approved by the institutional review board of the First Affiliated Hospital of Chongqing Medical University. The protocol design is in accordance with Consolidated Standards of Reporting Trials (CONSORT) statements.

This study is designed as a cohort study to investigate the incidence of postoperative DVT in patients undergoing gastrointestinal malignancy laparoscopic surgery (group LS) and open surgery (group OS).

Participants in group LS will receive laparoscopic gastrointestinal malignancy surgery.

Participants in group OS will receive open gastrointestinal malignancy surgery. All participants will receive unified post-operative analgesia and the prophylaxis of infection and thromboembolism.

The primary outcome of this study is the incidence of DVT after laparoscopic and open gastrointestinal malignancy surgery within 7 days postoperatively.

The secondary outcomes of this study including: concentration of plasma D - dimer 2, time to first flatus and mobility, incidence of lung infection and infection of incision within 7 days postoperatively, lengths of hospital stay .

This study will be conducted under the supervision of an independent auditor. Every week, the auditor checked the data of the participants the day after the survey was conducted. Assessment of pain intensity and prognostic outcomes must be confirmed by the auditor in sampled population. When there is disagreement between surgeon and anesthesiologists in evaluating the prognosis of patients, the auditor must solve this disagreement by discussion with both evaluators. Data were double-entered by two statisticians with limitation of access and locked during statistical analysis.

Conditions

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Deep Vein Thrombosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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group laparoscopic surgery

Participants undergo laparoscopic gastrointestinal malignancy surgery will be included in this group. The pressure of pneumoperitoneum maintain in 10-12mmHg.

laparoscopic surgery

Intervention Type DEVICE

the method of surgery is conducted by laparoscope with proper pressure of pneumoperitoneum instead of opening the abdomen.

group open surgery

Participants undergo open gastrointestinal malignancy surgery will be included in this group.

open surgery

Intervention Type DEVICE

the method of surgery is conducted by surgical instruments to open the abdomen.

Interventions

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laparoscopic surgery

the method of surgery is conducted by laparoscope with proper pressure of pneumoperitoneum instead of opening the abdomen.

Intervention Type DEVICE

open surgery

the method of surgery is conducted by surgical instruments to open the abdomen.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. clinical diagnosed with gastrointestinal malignancy
2. aged from 18 to 75 years old
3. woman or man
4. classification of American Society of Anesthesiologists is I to III

Exclusion Criteria

1. patients with rectal tumor need to resect anus
2. tumor distant metastasis
3. patients with palliative surgery
4. diagnosed with DVT pre-operation
5. body mass index ≤18 or ≥30
6. coagulation dysfunction
7. cerebral hemorrhage history pre-operation
8. hepatorenal dysfunction
9. being pregnant
10. mental disorder
11. patients with peritonitis or uncontrolled general infection
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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First Affiliated Hospital of Chongqing Medical University

OTHER

Sponsor Role lead

Responsible Party

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Min Su

Department of Anesthesiology and Pain Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Su Min, MD

Role: PRINCIPAL_INVESTIGATOR

First Affiliated Hospital of Chongqing Medical University

Locations

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The First Affliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status

Countries

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China

Central Contacts

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Guihua Huang, MD

Role: CONTACT

+86-023-89011061

Facility Contacts

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Su Min, MD

Role: primary

+86-23-89011068

Guihua Huang, MD

Role: backup

+86-23-89011061

References

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Other Identifiers

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CYYYMZ-004

Identifier Type: -

Identifier Source: org_study_id