Outcomes From a RCT Comparing Preventive Versus Delayed Ligation of DVC During Robot-assisted Radical Prostatectomy
NCT03351088 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 226
Last updated 2017-11-22
Summary
Since its introduction, robot-assisted radical prostatectomy (RARP) have become the standard surgical approach for the treatment of prostate cancer in the United States and then in Europe. Continuous refinements of surgical technique has been described in order to maximise outcomes while minimizing morbidities.
The management of DVC is a crucial steps during RARP. It could be done prior or after its transection thanks to haemostatic effects of the pneumoperitoneum. This topic has been already investigated by some authors. However, no high quality evidence is available to opt in favour of either of the two approaches. Findings about estimated blood loss, positive surgical margins and urinary recovery differ among these studies and only one is a randomized controlled trial in a laparoscopic setting with a limited number of patients.
Therefore, our objective was to evaluate in a prospective randomised setting whether a delayed ligation of the dorsal vascular complex impacted on perioperative, functional and oncological outcomes as compared to preventive ligation during robot-assisted radical prostatectomy.
Conditions
Interventions
- PROCEDURE
-
DVC ligation
Ligation of the dorsal vascular complex during robot-assisted radical prostatectomy
Sponsors & Collaborators
-
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-08-31
- Primary Completion
- 2017-11-30
- Completion
- 2017-12-31
Countries
- Italy
Study Locations
More Related Trials
-
RCT-evaluation of Retzius-sparing Robotic Prostatectomy
NCT03787823 ·Status: UNKNOWN ·Phase: NA
-
EFFICACY of INTRAOPERATIVE ARISTA POLYSACCHARIDE APPLICATION on the POSTOPERATIVE BLOOD LOSS in PATIENTS UNDERGOING RARP for the TREATMENT of PROSTATE CANCER
NCT06822036 ·Status: RECRUITING ·Phase: NA
-
Impact of Robot-assisted Radical Prostatectomy Technique on Short-term Continence Recovery
NCT02352103 ·Status: COMPLETED ·Phase: PHASE3
-
Robotic Athermal Nerve-Sparing Radical Prostatectomy
NCT02079155 ·Status: WITHDRAWN ·Phase: NA
-
3D Versus Robot Assisted Laparoscopic Prostatectomy.
NCT03550040 ·Status: TERMINATED ·Phase: NA
-
Robot-assisted vs Laparoscopic Radical Prostatectomy for Prostate Cancer Treatment
NCT04011865 ·Status: UNKNOWN ·Phase: NA
-
Robot-Assisted Radical Prostatectomy With or Without Vesicopexy in Patients With Prostate Cancer
NCT04981834 ·Status: SUSPENDED ·Phase: NA
-
Random Evaluation of Patients Who Have Had Laparoscopic Partial Nephrectomy
NCT04120805 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Laparoscopic vs Robotic-Assisted Radical Prostatectomy
NCT03682146 ·Status: COMPLETED ·Phase: NA
-
Retzius-sparing Technique in Robotic-assisted Radical Prostatectomy
NCT05224024 ·Status: UNKNOWN ·Phase: NA
-
The Robot-Assisted Laparoscopic Radical Prostatectomy Combined Anterior and Posterior Approach
NCT06020287 ·Status: COMPLETED
-
Impact of Augmented Reality During Robot-assisted Radical Prostatectomy
NCT06059859 ·Status: RECRUITING ·Phase: NA
-
Comparison of the Integrated Posterior-Anterior-Lateral Approach and the Posterior Approach in Robotic Radical Prostatectomy
NCT07305142 ·Status: COMPLETED ·Phase: NA
-
Outpatient Radical Prostatectomy - Surgical and Anesthetic Considerations
NCT01955863 ·Status: COMPLETED ·Phase: NA
-
Study of Robot-assisted Radical Prostatectomy Performed on Outpatient in Patients With Localized Prostate Cancer
NCT04319146 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Evaluation of Hemostatic Agents in Robotic-assisted Laparoscopic Partial Nephrectomy
NCT03528057 ·Status: WITHDRAWN ·Phase: NA
-
Clinical Trial of Approaches to Prostate Cancer Surgery
NCT05155501 ·Status: RECRUITING ·Phase: NA
-
The Impact of Low Pressure Pneumo in RARP II
NCT04394676 ·Status: UNKNOWN ·Phase: NA
-
Retrograde Perfusion Sphinterometry and Autologous Sling to Improve Urinary Continence in Robotic Radical Prostatectomy
NCT03050996 ·Status: UNKNOWN
-
Comparison of Radical Prostatectomy Performed by Robot-assisted Laparoscopy or Conventional Laparoscopy or by Laparotomy
NCT04638088 ·Status: RECRUITING
-
Posterior Extra-fascial RARP in Intermediate or High Risk Prostate Cancer
NCT06434649 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Oncological and Functional Outcomes After Radical Prostatectomy for Prostate Cancer: Comparing Open With Robot-assisted Surgery
NCT01578356 ·Status: COMPLETED
-
Medico-economic Comparison of Robot-assisted Radical Prostatectomy Versus Radical Prostatectomy Via Laparotomy
NCT01577836 ·Status: COMPLETED ·Phase: NA
-
Prostatic Artery Embolization for Obstructive Uropathy Due to Prostate Cancer
NCT03104907 ·Status: COMPLETED ·Phase: NA
-
Intraoperative Nerve Monitoring During Robotic-assisted Radical Prostatectomy
NCT03721029 ·Status: COMPLETED ·Phase: NA