UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057612
Receipt number R000065781
Scientific Title Acute postoperative pain comparing robotic versus laparoscopic surgery in bariatric procedures
Date of disclosure of the study information 2025/04/21
Last modified on 2025/04/15 03:00:51

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Basic information

Public title

Acute postoperative pain comparing robotic versus laparoscopic surgery in bariatric procedures

Acronym

DOROB-LABA

Scientific Title

Acute postoperative pain comparing robotic versus laparoscopic surgery in bariatric procedures

Scientific Title:Acronym

PAIN-ROBO-LABA

Region

North America


Condition

Condition

Patients undergoing laparoscopic or robot-assisted bariatric surgery (Sleeve Gastrectomy, Gastric Bypass, Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy).

To reduce variability and ensure consistency across the study population, all patients included in the analysis must have received the following standardized analgesic and antiemetic regimen:

Analgesic intraoperative protocol:
Ketorolac 30 mg IV
Dexamethasone 8 mg IV
Buprenorphine 300 mcg IV

Antiemetic protocol:
Aprepitant 80 mg PO preoperatively
Ondansetron 8 mg IV intraoperatively

Rescue analgesia protocol:
Buprenorphine 1 mcg/kg IV

Classification by specialty

Surgery in general Anesthesiology Operative medicine
Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to identify which surgical approach (robotic or laparoscopic) is associated with lower levels of acute postoperative pain, measured using the Numeric Rating Scale (NRS), in patients undergoing bariatric procedures, including Sleeve Gastrectomy, Gastric Bypass, and Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S). Pain will be evaluated at 1, 8, and 24 hours postoperatively, and at the time of hospital discharge.

Basic objectives2

Others

Basic objectives -Others

1.- To compare acute postoperative pain intensity between robotic and laparoscopic surgery in patients undergoing bariatric procedures, including Sleeve Gastrectomy, Gastric Bypass, and Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S), measured by the Numeric Rating Scale (NRS) at 1, 8, and 24 hours postoperatively, and at hospital discharge.


Trial characteristics_1

Others

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. Intensity of acute postoperative pain, measured by the Numeric Rating Scale (NRS) at 1 hour postoperatively, comparing patients undergoing robotic versus laparoscopic bariatric surgery, including Sleeve Gastrectomy, Gastric Bypass, and Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S).

Key secondary outcomes

1.- Time to first rescue analgesia, defined as the time interval (in minutes or hours) between the end of surgery and the first administration of rescue pain medication.

2.- Pain intensity at 8 hours postoperatively, measured using the Numeric Rating Scale (NRS).

3.- Pain intensity at 24 hours postoperatively, measured using the Numeric Rating Scale (NRS).

4.- Pain intensity at hospital discharge, measured using the Numeric Rating Scale (NRS).

5.- Length of hospital stay, measured in hours or days from the end of surgery to hospital discharge.

6.- Incidence of postoperative nausea and vomiting (PONV) within the first 24 hours after surgery.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <

Age-upper limit

99 years-old >

Gender

Male and Female

Key inclusion criteria

1.- Patients over 18 years of age
2.- Patients of both genders
3.- Patients admitted to bariatric surgery
4.- Complete file

Key exclusion criteria

1.- Files with incomplete data
2.- File with a voluntary discharge form or transfer note
3.- Patients who need to be intubated in intensive care after surgery

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Manuel
Middle name
Last name Guerrero

Organization

Hospital de Prado Medical Center

Division name

Department of Bariatric Surgery

Zip code

22105

Address

Bugambilias #50, Fraccionamiento el Prado, Tijuana Baja California

TEL

+526642746273

Email

manuelguerreromd@gmail.com


Public contact

Name of contact person

1st name Diego
Middle name
Last name Escarraman

Organization

Instituto Mexicano del Seguro Social

Division name

Anesthesiology Department

Zip code

02990

Address

Paseo de las Jacarandas Sin Numero, Colonia La Raza, Azcapotzalco, Ciudad de Mexico

TEL

+525570778209

Homepage URL


Email

diego-piloto@hotmail.com


Sponsor or person

Institute

Hospital de Prado Medical Center

Institute

Department

Personal name



Funding Source

Organization

Self Funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical teaching and research, Hospital de Prado Medical Center

Address

Bugambilias #50, Fraccionamiento el Prado, Tijuana Baja California

Tel

+528114837002

Email

arellanespaloma@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 04 Month 21 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 03 Month 14 Day

Date of IRB


Anticipated trial start date

2025 Year 04 Month 21 Day

Last follow-up date

2025 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a retrospective cohort study based on the analysis of electronic medical records from patients who underwent bariatric surgery using either a robotic or laparoscopic approach. The study aims to compare the postoperative pain perceived by patients between both surgical techniques. Patients will be stratified according to the type of approach used. The bariatric procedures included in the study are Sleeve Gastrectomy, Gastric Bypass, and Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S).


Management information

Registered date

2025 Year 04 Month 15 Day

Last modified on

2025 Year 04 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065781