Clinical Trial Record

Return to Clinical Trials

Bilioenteric Anastomosis by Magnetic Compressive Technique


2019-02-01


2021-01-31


2022-01-31


200

Study Overview

Bilioenteric Anastomosis by Magnetic Compressive Technique

The purpose of this study is to determine whether the magnetic compressive anastomosis has a better outcomes than traditional manual anastomosis on bilioenteric anastomosis.

The bilioenteric anastomosis is one of the most common and difficult operations in Hepatobiliary Surgery. The traditional manual anastomosis has become one of the main prognosis factors because of the length of suture time, the difficulty of operation, the high incidence of anastomotic leakage and stricture. Magnetic compressive anastomosis can realize the fast anastomosis, reduce the difficulty, and reduce the incidence of anastomotic leakage and stricture. Currently, the majority of studies of magnetic compressive bilioenteric anastomosis are merely confined within clinical case report and single-center, small sample, retrospective study. This study is a prospective, randomized controlled trial. To evaluate the security, reliability and convince of magnetic compressive bilioenteric anastomosis versus traditional suture method on incidence of anastomotic leakage and stricture between magnetic compressive anastomosis and traditional manual anastomosis among patients who need bilioenteric anastomosis operation. The study is to enroll about 200 patients and divide into Study Group (Group A: Magnetic compressive anastomosis) and Control Group (Group B: traditional manual anastomosis) as 1:1 ratio randomly by stratification factors. The incidence of anastomotic leakage and stricture, length of bilioenteric anastomosis time, value of serum bilirubin, length of discharge time of magnetic device and mean time of hospital stay will be evaluated. The patients will drop out of the study if adverse events happen, active request for dropping out, new-onset severe disease or death. The primary and secondary end point will be observed by regular follow-up.

  • Pancreatic Cancer
  • Cholangiocarcinoma
  • Bile Duct Injury
  • Choledochal Cyst
  • Biliary Calculi
  • PROCEDURE: Magnetic Compressive Anastomosis
  • PROCEDURE: Manual Anastomosis
  • XJTU1AF-CRF-2015-001-1

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2018-12-12  

N/A  

2019-11-15  

2018-12-12  

N/A  

2019-11-18  

2018-12-13  

N/A  

2019-11  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
Single


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Magnetic Compressive Anastomosis

A magnetic device will be used during bilioenteric anastomosis.

PROCEDURE: Magnetic Compressive Anastomosis

  • The magnetic compressive anastomosis will be used to complete the anastomosis during bilioenteric anastomosis.
ACTIVE_COMPARATOR: Traditional Manual Anastomosis

A handsewn technique will be used during bilioenteric anastomosis.

PROCEDURE: Manual Anastomosis

  • A handsewn technique will be used to complete the anastomosis during bilioenteric anastomosis.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Bilioenteric anastomotic leakageTo compare the incidence of biliary leakage after magnetic or hand-sewn anastomosis1 month post operation
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Length of bilioenteric anastomosis timeTo compare the anastomotic time between magnetic and hand-sewn groupsduring operation
Time from the date of operation to expel of the magnets.To confirm the safe discharge of the magnets1 to 4 weeks postoperation
average length of postoperative hospital stayTo compare the length of stay between magnetic and hand-sewn groups3 months
Bilioenteric anastomotic strictureTo compare the long-term outcome between magnetic and hand-sewn groups1,3,6,12-month post operation

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Yi Lv, MD,PHD

Phone Number: 86-29-85323900

Email: luyi169@126.com

Study Contact Backup

Name: Xu-Feng Zhang, MD, PhD

Phone Number: 86-29-85323626

Email: xfzhang125@126.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Patients with age between 18 to 75
  • Patients' gender was not limited
  • Patients who were well-diagnosed and had the indication for bilioenteric anastomosis.
  • Patients whose lifetimes will be longer than 12 months.
  • Patients who are willing to join this clinical trial and informed consent form voluntarily.

  • Exclusion Criteria:

  • Woman during pregnancy or lactation or anyone with mental disorder
  • The wall of hepatic duct or jejunum was too thick so that the attractive force of magnetic device cannot meet the requirements of compression.
  • Any anatomical variation in bile ducts system or the inner diameter is too small so that the magnetic device cannot place in.
  • Any foreign body has been implanted in body, such as heart pacemaker.
  • Surgical contraindication, including:

  • Child-Pugh C with hepatic encephalopathy Anyone with heart, lung, kidney dysfunction or other organ dysfunction, and cannot tolerate surgery.Hepatic ducts stone disease, who was diagnosed as Acute Cholangitis of Severe Type, especially complicated with bacteremia or septic shock. End stage disease, complicated with biliary cirrhosis or portal hypertension.Patients with long- term obstructive jaundice, dehydration, electrolyte disturbance or coagulation defects; Patients have the tendency or history of bleeding.
    • Any other disease in perioperation periods which needs MRI examination in the next 8 weeks post operation.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Xi'an Jiaotong University
  • Northwest Institute for Non-ferrous Metal Research

  • PRINCIPAL_INVESTIGATOR: Yi Lv, MD,PHD, China, Shaanxi First Affiliated Hospital of Xian JiaotongUniversity

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available