ClinicalTrials.gg
CompletedNCT03356626Updated Sep 23, 2024Results posted

Comparison of Perioperative Outcomes Between Energy Device During Laparoscopic Gastrectomy

An interventional study of ULTRACISION Harmonic Scalpel and Ligasure Maryland in Postoperative Inflammation and Postoperative Fever, sponsored by Seoul National University Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 20 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-23.

Sponsored by Seoul National University Hospital · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
189
Allocation
Randomized
Ages
20 Years to 80 Years
Sex
All
01

Study summary

To find out which instrument can be much better for laparoscopic gastrectomy among Harmonic scalpel, Ligasure Maryland, Thunderbeat

comparing postoperative CRP level in each group

Read the detailed description

To find out which instrument can be much better for laparoscopic gastrectomy among Harmonic scalpel, Ligasure Maryland, Thunderbeat

comparing postoperative CRP level in each group

  1. post operative 2nd day CRP level
  2. post operative 4th day CRP level
  3. post operative IL-6, 10 level in 2nd, 4th day
02

Conditions studied

  • Postoperative Inflammation
  • Postoperative Fever

Keywords

  • fever, inflammation
03

In context

Fever

438 studies on the registry are indexed under Fever; 55 are open to participants now.

This study's enrollment of 189 is above the median of 123 across 271 interventional studies indexed under Fever.

Browse Fever studies →

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,900 studies on the registry; 274 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • proven adenocarcinoma in stomach
  • patients who are expected for R0 resection with distal gastrectomy
  • pre-operative clinical stage should be stage I
  • patients who is able to be followed up with in postoperative 30 days
  • patients whose CRP is normal before surgery

Exclusion criteria

Exclusion Criteria:

  • patients who had an abdominal surgery
  • patients who received chemotherapy, radiotherapy before surgery
  • patients who received ESD before surgery
  • Patients who had an ascites on pre-operative CT scan
  • liver cirrhosis
  • cardiovascular disease (\<50%)
  • serum creatinine > 1.4 mg/dL or BUN>26mg/dL
  • PT >1.2 or aPTT>45sec
  • uncontrolled diabetes
  • Crohn's disease, ulcerative colitis
  • patients who receives anti-coagulants
  • patients who need pre-operative booster because of steroid treatment
  • pregnancy
  • patients who have allergic reaction to iodine
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
189 participants (actual)

Study arms

  • Experimental
    ULTRACISION Harmonic Scalpel

    Patients group randomized to use ULTRACISION Harmonic Scalpel when receives laparoscopic gastrectomy

    Device: ULTRACISION Harmonic Scalpel

  • Experimental
    Ligasure Maryland

    Patients group randomized to use Ligasure Maryland when receives laparoscopic gastrectomy

    Device: Ligasure Maryland

  • Experimental
    Thunderbeat

    Patients group randomized to use Thunderbeat when receives laparoscopic gastrectomy

    Device: Thunderbeat

Interventions

  • DeviceULTRACISION Harmonic Scalpel

    to use ULTRACISION Harmonic Scalpel when performing gastrectomy

  • DeviceLigasure Maryland

    to use Ligasure Maryland when performing gastrectomy

  • DeviceThunderbeat

    to use Thunderbeat when performing gastrectomy

06

What researchers measure

Primary outcomes

  1. Postoperative 2nd Day CRP

    To check the postoperative 2nd day CRP level in each group

    Time frame: 2nd day

Secondary outcomes

  1. Postoperative 4th Day CRP

    To check the postoperative 4th day CRP level in each group

    Time frame: 4th day

  2. Postoperative 2nd Day IL-6

    To check the postoperative 2nd, 4th day IL-6, IL10 level in each group

    Time frame: 2nd day

  3. Postoperative 4th Day IL-6

    To check the postoperative 2nd, 4th day IL-6, IL10 level in each group

    Time frame: 4th day

  4. Postoperative 2nd Day IL-10 Level

    To check the postoperative 2nd, 4th day IL-6, IL10 level in each group

    Time frame: 2nd day

  5. Postoperative 4th Day IL-10 Level

    To check the postoperative 2nd, 4th day IL-6, IL10 level in each group

    Time frame: 4th day

07

Results

Posted Sep 23, 2024
Limitations and caveats
The complication rate, could not be evaluated due to the limited number of cases. A stratified randomization method was chosen in this study to prevent an imbalance of prognostic factors that could affect the results, but the baseline characteristics of the patients in each group were not perfectly balanced. Since gastric surgery may be affected by patient factors, such as sex and BMI, those factors should be considered stratification factors.

Participant flow

Participant flow — Overall Study
MilestoneULTRACISION Harmonic ScalpelLigasure MarylandThunderbeat
Started616563
Completed576057
Not completed456

Outcome measures

PrimaryPostoperative 2nd Day CRP

To check the postoperative 2nd day CRP level in each group

Time frame:
2nd day
Reported as:
Mean · mg/dL
Postoperative 2nd Day CRP
mg/dLULTRACISION Harmonic ScalpelLigasure MarylandThunderbeat
Postoperative 2nd Day CRP11.12 ± 5.029.03 ± 5.5512.67 ± 6.14
SecondaryPostoperative 4th Day CRP

To check the postoperative 4th day CRP level in each group

Time frame:
4th day
Reported as:
Mean · mg/dL
Postoperative 4th Day CRP
mg/dLULTRACISION Harmonic ScalpelLigasure MarylandThunderbeat
Postoperative 4th Day CRP9.62 ± 0.537.48 ± 0.529.48 ± 0.53
SecondaryPostoperative 2nd Day IL-6

To check the postoperative 2nd, 4th day IL-6, IL10 level in each group

Time frame:
2nd day
Reported as:
Mean · pg/ml
Postoperative 2nd Day IL-6
pg/mlULTRACISION Harmonic ScalpelLigasure MarylandThunderbeat
Postoperative 2nd Day IL-617.96 ± 3.8219.32 ± 3.5122.3 ± 3.61
SecondaryPostoperative 4th Day IL-6

To check the postoperative 2nd, 4th day IL-6, IL10 level in each group

Time frame:
4th day
Reported as:
Mean · pg/ml
Postoperative 4th Day IL-6
pg/mlULTRACISION Harmonic ScalpelLigasure MarylandThunderbeat
Postoperative 4th Day IL-68.08 ± 3.828.07 ± 3.627.16 ± 3.61
SecondaryPostoperative 2nd Day IL-10 Level

To check the postoperative 2nd, 4th day IL-6, IL10 level in each group

Time frame:
2nd day
Reported as:
Mean · pg/ml
Postoperative 2nd Day IL-10 Level
pg/mlULTRACISION Harmonic ScalpelLigasure MarylandThunderbeat
Postoperative 2nd Day IL-10 Level3.52 ± 0.043.53 ± 0.043.49 ± 0.04
SecondaryPostoperative 4th Day IL-10 Level

To check the postoperative 2nd, 4th day IL-6, IL10 level in each group

Time frame:
4th day
Reported as:
Mean · pg/ml
Postoperative 4th Day IL-10 Level
pg/mlULTRACISION Harmonic ScalpelLigasure MarylandThunderbeat
Postoperative 4th Day IL-10 Level0.47 ± 0.710.47 ± 0.710.52 ± 0.66

Adverse events

Collected over 30 days after operation. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
ULTRACISION Harmonic Scalpel0/57 (0%)0/57 (0%)2/57 (3.5%)
Ligasure Maryland0/60 (0%)0/60 (0%)3/60 (5%)
Thunderbeat0/57 (0%)0/57 (0%)4/57 (7%)
Most frequent other events
Most frequent other events
EventULTRACISION Harmonic ScalpelLigasure MarylandThunderbeat
Postoperative complication: Clavien-Dindo grade ≥ IIIa †Gastrointestinal disorders1/571/603/57
Postoperative complication: Clavien-Dindo grade < IIIaGastrointestinal disorders1/572/601/57

Baseline characteristics

Age, Continuous
Age, Continuous(years)ULTRACISION Harmonic ScalpelLigasure MarylandThunderbeatTotal
Mean60.75 ± 11.0160.35 ± 11.0162.51 ± 10.0061 ± 10.67
Sex: Female, Male
Sex: Female, Male(Participants)ULTRACISION Harmonic ScalpelLigasure MarylandThunderbeatTotal
Female12261452
Male453443122
Race (NIH/OMB)
Race (NIH/OMB)(Participants)ULTRACISION Harmonic ScalpelLigasure MarylandThunderbeatTotal
American Indian or Alaska Native0000
Asian576057174
Native Hawaiian or Other Pacific Islander0000
Black or African American0000
White0000
More than one race0000
Unknown or Not Reported0000
Region of Enrollment
Region of Enrollment(participants)ULTRACISION Harmonic ScalpelLigasure MarylandThunderbeatTotal
South Korea576057174
Preoperative CRP level
Preoperative CRP level(mg/dL)ULTRACISION Harmonic ScalpelLigasure MarylandThunderbeatTotal
Mean0.21 ± 0.180.16 ± 0.160.16 ± 0.140.18 ± 0.16
08

Study locations

1 site
  • Seoul National University Hospital
    Seoul, 03080, Korea, Republic of
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03356626
Collaborators
Medtronic Spine LLC
Responsible party
Sponsor
First posted
Nov 29, 2017
Start date
Mar 12, 2018
Primary completion
Jan 7, 2021
Completion
Aug 22, 2022
Results posted
Sep 23, 2024
Last update
Sep 23, 2024

Study contacts

Seong-Ho Kong, MD,PhD
principal investigator · Seoul National University Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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