Blood Lactate Level With Paraaortic Lymph Node Dissection

NCT ID: NCT06648330

Last Updated: 2024-10-18

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

Total Enrollment

75 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-01

Study Completion Date

2024-09-20

Brief Summary

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This study was designed as a prospective observational study.

Detailed Description

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In this study, the investigator planned to evaluate the effect of blood lactate levels on postoperative gastrointestinal morbidity after paraaortic retroperitoneal lymph node dissection. In gynaecological surgeries, following the removal of the intestines from the surgical field, the retroperitoneal space is entered and the main vessels such as the vena cava inferior and aorta are accessed through the left or right approach depending on the experience and habit of the per-operative surgeon, and total systemic lymph node dissection or bulky lymph node excision is performed depending on the case. During the removal of the intestines from the surgical field, hypoperfusion may develop due to decreased blood flow to the intestines. for this purpose, the investigator planned to investigate the relationship between the change in blood gas lactate values and postoperative gastrointestinal complications in this process.

Conditions

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Morbidity Gynaecologic Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Gynaecological cancer surgeries with paraaortic retroperitoneal lymph node dissection

Paraaortic retroperitoneal lymph node dissection was performed in 75 patients with gynaecological cancer surgery

Paraaortic retroperitoneal lymph node dissection

Intervention Type PROCEDURE

The relationship between lactate level and mesenteric ischaemia in gynaecological cancer surgeries with paraaortic retroperitoneal lymph node dissection will be evaluated.

Interventions

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Paraaortic retroperitoneal lymph node dissection

The relationship between lactate level and mesenteric ischaemia in gynaecological cancer surgeries with paraaortic retroperitoneal lymph node dissection will be evaluated.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 18 years

* Patients undergoing paraaortic retroperitoneal lymph node dissection

Exclusion Criteria

* Patients with chronic lung disease
* Patients with inflammatory bowel disease
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Duygu Akyol

OTHER_GOV

Sponsor Role lead

Responsible Party

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Duygu Akyol

Principal investigator

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Duygu

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Mothes H, Wickel J, Sponholz C, Lehmann T, Kaluza M, Zanow J, Doenst T. Monitoring of the Progression of the Perioperative Serum Lactate Concentration Improves the Accuracy of the Prediction of Acute Mesenteric Ischemia Development After Cardiovascular Surgery. J Cardiothorac Vasc Anesth. 2021 Jun;35(6):1792-1799. doi: 10.1053/j.jvca.2021.02.007. Epub 2021 Feb 8.

Reference Type BACKGROUND
PMID: 33663981 (View on PubMed)

Oh TK, Song IA, Jeon YT. Peri-operative serum lactate level and postoperative 90-day mortality in a surgical ICU: A retrospective association study. Eur J Anaesthesiol. 2020 Jan;37(1):31-37. doi: 10.1097/EJA.0000000000001117.

Reference Type RESULT
PMID: 31724965 (View on PubMed)

Selcuk I, Oz M, Toyran A, Tatar I, Engin-Ustun Y, Demiryurek D. Para-aortic lymphadenectomy: step by step surgical education video. J Turk Ger Gynecol Assoc. 2021 Aug 31;22(3):253-254. doi: 10.4274/jtgga.galenos.2019.2019.0117. Epub 2019 Aug 9.

Reference Type RESULT
PMID: 31397548 (View on PubMed)

Other Identifiers

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2023-544

Identifier Type: -

Identifier Source: org_study_id

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