Clinical Trials Directory

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UnknownNCT03351088

Outcomes From a RCT Comparing Preventive Versus Delayed Ligation of DVC During Robot-assisted Radical Prostatectomy

Outcomes of a Phase III Randomized Controlled Trial Comparing Preventive Versus Delayed Ligation of Dorsal Vascular Complex During Robot-assisted Radical Prostatectomy

Status
Unknown
Phase
N/A
Study type
Interventional
Enrollment
226 (estimated)
Sponsor
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · Academic / Other
Sex
Male
Age
18 Years – 80 Years
Healthy volunteers
Not accepted

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

TypeNameDescription
PROCEDUREDVC ligationLigation of the dorsal vascular complex during robot-assisted radical prostatectomy

Timeline

Start date
2016-08-01
Primary completion
2017-11-01
Completion
2017-12-01
First posted
2017-11-22
Last updated
2017-11-22

Locations

1 site across 1 country: Italy

Source: ClinicalTrials.gov record NCT03351088. Inclusion in this directory is not an endorsement.