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Trial Title: Robotic-assisted Contra Open Resection for Suspected or Confirmed Gallbladder Cancer (ROBOCOP)

NCT ID: NCT06246448

Condition: Gall Bladder Cancer

Conditions: Official terms:
Gallbladder Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Single (Participant)

Intervention:

Intervention type: Procedure
Intervention name: Robotic-assisted radical cholecystectomy
Description: Procedure will be performed robotic-assisted
Arm group label: Robotic-assisted radical cholecystectomy

Intervention type: Procedure
Intervention name: Open radical cholecystectomy
Description: Procedure will be open
Arm group label: Open radical cholecystectomy

Summary: The Robocop trial is an international multi-centre, single blinded, randomized controlled superiority trial conducted in centres experienced in robotic-assisted liver surgery. Eligible patients for radical cholecystectomy will be randomized in a 1:1 ratio to undergo robotic-assisted or open resection within an enhanced recovery setting. The primary endpoint is time to functional recovery. Secondary endpoints include length of hospital stay, resection margin, number of retrieved lymph nodes, postoperative complications, quality of life, abdominal wall complaints and direct and indirect costs.

Detailed description: Robotic-assisted surgery is hypothesised to reduce time to functional recovery by 2 days compared with open surgery. With a power of 80% and alpha of 0.05, the sample size needed in each arm to test superiority is 35 patients. With an expected 25% drop-out rate, 47 patients will be randomized in each group, with a total of 94 patients to be randomized in the trial.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patient with radiologically suspected or confirmed (≥T1b) incidental gallbladder cancer after cholecystectomy with an indication of radical cholecystectomy, without the need for resection of extrahepatic bile ducts, as decided at a multidisciplinary team conference. - Patient sufficiently fit to undergo radical cholecystectomy according to surgeon and anaesthesiologist. Exclusion Criteria: - Previous extensive surgery in the upper abdomen (for example open liver surgery) - Pregnancy - Intraoperative findings of dissemination (patient is then excluded after randomization) - Intraoperative findings of the need to perform resection of extrahepatic bile ducts (patient is then excluded after randomization). - Intraoperative findings leading to a simple cholecystectomy only (patient is then excluded after randomization)

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Region Stockholm

Address:
City: Stockholm
Country: Sweden

Status: Recruiting

Contact:
Last name: Christian Sturesson, PhD
Email: christian.sturesson@regionstockholm.se

Start date: January 23, 2024

Completion date: March 2027

Lead sponsor:
Agency: Karolinska University Hospital
Agency class: Other

Collaborator:
Agency: University Hospital, Linkoeping
Agency class: Other

Collaborator:
Agency: Sahlgrenska University Hospital, Sweden
Agency class: Other

Collaborator:
Agency: Rigshospitalet, Denmark
Agency class: Other

Source: Karolinska University Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06246448

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