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Brief Title † | Transvaginal NOTES Cholecystectomy: Phase I/II Mexico Clinical Trial | ||||||||
Official Title † | Transvaginal Natural Orifice Translumenal and Endoscopic Surgery (NOTES) Cholecystectomy vs. Laparoscopic Cholecystectomy: Phase I/II Clinical Trial | ||||||||
Brief Summary | Cholecystectomy is one of the most common general surgery procedures performed in the US today and is among top 10 procedures performed in U.S. hospitals annually, and biliary tract disease has been estimated to cost U.S. healthcare $5 billion/year. Laparoscopic cholecystectomy was introduced in the early 1990s and has become the standard surgical approach for the treatment of gallbladder disease. More than 500,000 cholecystectomy procedures are performed in the US every year. Laparoscopic cholecystectomy is now performed as an outpatient basis and is related to a very low complication rate. Laparoscopic cholecystectomy requires the use of multiple trocar incisions. Natural Orifice Translumenal Endoscopic Surgery(NOTES) is a new type of surgical procedure currently being studied around the world. The idea of NOTES was developed several years ago in response to the concepts that patients would
All of these advantages have spurred research and investigation forward, encouraging physicians and researchers to develop new equipment and techniques to use during NOTES procedures. Although the Natural Orifice Translumenal Endoscopic Surgery approach may hold tremendous potential, there are many issues that need to be addressed before this technique is introduced into clinical care. The purpose of this study is to determine the safety, feasibility and short-term clinical outcomes (Phase I trial) of transvaginal NOTES cholecystectomy in female patients with symptomatic cholelithiasis and compare it to Laparoscopic Cholecystectomy (Phase II). Hypothesis 1: Transvaginal NOTES cholecystectomy is safe and feasible in female patients with symptomatic cholelithiasis. Hypothesis 2: The short term outcomes of Transvaginal NOTES cholecystectomy are comparable to Laparoscopic Cholecystectomy in female patients with symptomatic cholelithiasis. Aim 1: Determine the safety of Transvaginal NOTES cholecystectomy. Aim 2: Determine the feasibility of Transvaginal NOTES cholecystectomy. Aim 3: Determine the short-term outcomes of Transvaginal NOTES cholecystectomy. Aim 4: Compare the short-term outcomes of Transvaginal NOTES cholecystectomy to Laparoscopic cholecystectomy. |
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Detailed Description | Most recently, surgeons and endoscopists have focused on NOTES cholecystectomy. Access to the abdominal cavity to perform NOTES procedures has been obtained by transgastric, transvaginal, transvesical and transrectal approaches. The first successful NOTES procedure in humans was an appendectomy in India. Transvaginal NOTES cholecystectomy has been successfully performed and reported in a handful of cases in the US, Europe and South America. However, to date, there is lack of clinical trials that demonstrate the safety and feasibility of Transvaginal NOTES cholecystectomy in a larger group of patients. |
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Study Phase | Phase I, Phase II | ||||||||
Study Type † | Interventional | ||||||||
Study Design † | Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study | ||||||||
Primary Outcome Measure † | Safety and Efficacy of Transvaginal NOTES cholecystectomy when compared to Laparoscopic cholecystectomy [ Time Frame: 12 months ] [ Designated as safety issue: Yes ] | ||||||||
Secondary Outcome Measure † | Short term outcomes of Transvaginal NOTES cholecystectomy when compared to Laparoscopic Cholecystectomy [ Time Frame: 12 months ] [ Designated as safety issue: Yes ] | ||||||||
Condition † | Cholelithiasis | ||||||||
Intervention † | Procedure: Transvaginal NOTES cholecystectomy Procedure: Laparoscopic cholecystectomy |
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Recruitment Status † | Not yet recruiting | ||||||||
Enrollment † | 40 | ||||||||
Start Date † | January 2009 | ||||||||
Completion Date | August 2009 | ||||||||
Eligibility Criteria † | Inclusion Criteria:
Exclusion Criteria:
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Gender | Female | ||||||||
Ages | 18 Years to 65 Years | ||||||||
Accepts Healthy Volunteers | No | ||||||||
Contacts †† | |||||||||
Location Countries † | Mexico | ||||||||
Administrative Information Fields | |||||||||
NCT ID † | NCT00710502 | ||||||||
Organization ID | 05626 | ||||||||
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Study Sponsor † | Universidad Juarez Durango | ||||||||
Collaborators †† | Hospital Universitario La Paz | ||||||||
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Information Provided By | North Texas Veterans' Healthcare System | ||||||||
Verification Date | August 2008 | ||||||||
First Received Date † | July 2, 2008 | ||||||||
Last Updated Date | September 12, 2008 |