Symptoms and General Pathology

All Conditions

Neoplasms

Digestive System Diseases

Hemorrhage

Liver Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Liver Diseases

Hematinics

All Drugs and Chemicals

Liver Extracts

Waterjet induced dissection of the liver during resection.Waterjet dissection device mechanically separates hepatic tissue from bile ducts and vessels, the latter two to be separately ligated.

CUSA transection of the liver. Ultrasound based destruction of the liver parenchyma to allow separate ligation of the bile duct and intrahepatic vessels.

Waterjet induced dissection

Ultrasound based destruction of the liver

CUSA induced dissection

Anders Jansson, MdPhd

Lars Lundell, Professor

Before liver transection patients are allocated to either waterjet or CUSA to divide the liver parenchyma.

Transection time, bloodloss, total operation time and postoperative complication rates are registered.

Waterjet Versus Ultrasound Dissection During Hepatic Transection

Peroperative bloodloss in ml during liver transection by use of either waterjet or CUSA.

Bengt Isaksson

Jansson, Anders, M.D.

Karolinska University Hospital

Professor

Gland and Hormone Related Diseases

Rare Diseases

Thyroid Neoplasms

Thyroid Diseases

Thyroid Cancer, Papillary

Endocrine System Diseases

Endocrine Gland Neoplasms

Head and Neck Neoplasms

Papillary Thyroid Carcinoma

Comparison of Surgical Outcomes Between Papillary Thyroid Cancer Patients Treated with the Ultrasonic coagulation device (Harmonic ACE® Scalpel) and the bipolar energy sealing system (LigaSure Precise) during Conventional Thyroidectomy

Ultrasonic coagulation device (Harmonic ACE® scalpel)

bipolar energy sealing system (LigaSure Precise)

Ja Seong Bae, MD,phD

The aim of the study is to evaluate differences between use of Ultrasonic Coagulation Device (New Harmonic ACE™, Ethicon endo-surgery) and Bipolar Energy Sealing System (LigaSure Precise™, Covidien) in surgery for thyroid cancer.

Abbreviations: Ultrasonic Coagulation Device (UC), Bipolar Energy Sealing System (BES), Recurrence-free survival (RFS), Overall survival (OS)

Background: Thyroid is an organ that has abundant vessels. In thyroid surgery, it should be cautious to avoid injury of the recurrent laryngeal nerve and parathyroid, thus careful hemostasis during surgery is crucial for surgeons who perform thyroid surgery. Recently, there have been significant advances in vessel sealing systems for the occlusion of vessels during surgery as endoscopic surgery has been developed. UC and BES are now commonly used in thyroid surgery. However, only a few studies have compared the two surgical devices to determine which technique is superior in terms of operative time and complication rate. Thus, this single-blind prospective randomized trial is conducted to determine if there was a difference in operative time, complication rate, postoperative drainage volume, admission time, cost, and, furthermore, oncologic outcomes (RFS and OS) between the two surgical devices in surgery for thyroid cancer.

Safety and Efficacy Study of Ultrasonic Coagulation Device and Bipolar Energy Sealing System

Comparison of Surgical Outcomes Between Papillary Thyroid Cancer Patients Treated With the Harmonic ACE® Scalpel and LigaSure Precise™ Instrument During Conventional Thyroidectomy: A Single-blind Prospective Randomized Controlled Trial

Seoul St. Mary's Hospital

Division of Breast and Endocrine Surgery, Department of Surgery, The Catholic University of Korea College of Medicine

Urinary Tract, Sexual Organs, and Pregnancy Conditions

Endometrial Neoplasms

Uterine Neoplasms

Genital Neoplasms, Female

Urogenital Neoplasms

Uterine Diseases

Genital Diseases, Female

Genital Diseases

Urogenital Diseases

Female Urogenital Diseases

Pregnancy Complications

Female Urogenital Diseases and Pregnancy Complications

Traditional laparoscopic surgery for endometrial cancer

Traditional surgery type

Robotic assisted laparoscopic surgery for endometrial cancer

Robotic assisted laparoscopic surgery

The aim of this study is to compare the robotic-assisted laparoscopic surgery to the traditional laparoscopic surgery in endometrial cancer patients.

The study is prospective and the patients are randomised into two groups of 50 patients each. Randomisation is done with Minim-programme and patients age and Body mass index are taken into account.

The primary endpoint is the operation time. The number of patients in this study is based on the non-inferiority design. Presumption is that the operation time in robotic-assisted laparoscopy will be 25% longer.

Secondary endpoints include:

1. bleeding
2. complications
3. conversions
4. number of pelvic lymph nodes

Endometrial Cancer and Robotic-assisted Versus Traditional Laparoscopy

Robotic-assisted vs. Traditional Laparoscopic Surgery in Treatment of Endometrial Cancer Patients

Tampere University Hospital

Principal Investigator

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Waterjet Versus Ultrasound Dissection During Hepatic Transection	NCT02041065	Liver Tumour	Waterjet induce... CUSA induced di...	18 Years -	Karolinska University Hospital
Safety and Efficacy Study of Ultrasonic Coagulation Device and Bipolar Energy Sealing System	NCT01565486	Thyroid Cancer	Ultrasonic coag... bipolar energy ...	20 Years - 80 Years	Seoul St. Mary's Hospital
Endometrial Cancer and Robotic-assisted Versus Traditional Laparoscopy	NCT01466777	Endometrium Can...	Traditional sur... Robotic assiste...	30 Years - 85 Years	Tampere University Hospital
Safety and Efficacy Study of Ultrasonic Coagulation Device and Bipolar Energy Sealing System	NCT01565486	Thyroid Cancer	Ultrasonic coag... bipolar energy ...	20 Years - 80 Years	Seoul St. Mary's Hospital

Spots Global Cancer Trial Database for operation time