UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062182
Receipt number R000071157
Scientific Title Construction of a Progressive Tubeless Day Surgery System for Laparoscopic Adrenal Tumors Based on an Original Stratified Risk Control Concept
Date of disclosure of the study information 2026/07/09
Last modified on 2026/07/09 00:22:11

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Basic information

Public title

A Progressive Tubeless Day Surgery Mode for Laparoscopic Adrenal Tumors with Preoperative Bleeding Risk Stratification

Acronym

A-Tubeless-Day-Laparoscopic-Adrenal-Bleeding-Stratification

Scientific Title

Construction of a Progressive Tubeless Day Surgery System for Laparoscopic Adrenal Tumors Based on an Original Stratified Risk Control Concept

Scientific Title:Acronym

Stratified Risk Tubeless Adrenal Day Surgery

Region

Asia(except Japan)


Condition

Condition

Adrenal Tumors, Adrenal Adenoma, Functional Adrenal Mass

Classification by specialty

Urology Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To establish a standardized progressive tubeless day surgery system for laparoscopic adrenal tumors based on self-developed preoperative stratified bleeding risk control criteria. We aim to verify the clinical safety and recovery advantages of risk-stratified perioperative ERAS management, compare the differences in perioperative indicators between low and high bleeding risk groups, and evaluate the health economic benefits of the 48-hour tubeless day surgery model for adrenal tumors.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Intraoperative blood loss measured during laparoscopic adrenal tumor resection

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Progressive tubeless laparoscopic adrenal tumor resection combined with 48-hour ERAS day-surgery protocol for patients satisfying all general inclusion criteria and seven low intraoperative bleeding risk standards. No drainage tube is placed after operation, and standardized short-stay perioperative management is adopted.

Interventions/Control_2

Conventional laparoscopic adrenal tumor resection with routine placement of postoperative drainage tube for patients meeting all general inclusion criteria but failing to satisfy the seven low intraoperative bleeding risk standards. Standard ordinary inpatient management is adopted instead of tubeless treatment and 48-hour day-surgery mode.

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

64 years-old >=

Gender

Male and Female

Key inclusion criteria

Imaging-confirmed adrenal space-occupying lesions, scheduled for retroperitoneal laparoscopic adrenal tumor resection;
Complete clinical and intraoperative data available to assess seven intraoperative bleeding risk indicators;
Patients and their families provide informed consent and voluntarily cooperate with full-course follow-up.

Key exclusion criteria

Patients undergoing open or robotic adrenal tumor resection;
Severe preoperative coagulation disorders with inability to discontinue anticoagulant/antiplatelet drugs;
Combined end-stage cardiac, pulmonary, hepatic or renal failure intolerant to short-term enhanced recovery management;
Cases with missing key clinical or intraoperative data, refusal of follow-up, or voluntary withdrawal during the study.

Target sample size

360


Research contact person

Name of lead principal investigator

1st name Yan
Middle name
Last name Zhao

Organization

Xuzhou Cancer Hospital

Division name

Department of Urology

Zip code

221000

Address

No.131 Huancheng Road, Gulou District, Xuzhou City, Jiangsu Province, P.R.China

TEL

+8615996959302

Email

529735655@qq.com


Public contact

Name of contact person

1st name Ya
Middle name Sheng
Last name Cao

Organization

Xuzhou Cancer Hospital

Division name

Department of Science and Education

Zip code

221000

Address

No.131 Huancheng Road, Gulou District, Xuzhou City, Jiangsu Province, P.R.China

TEL

+8619105168987

Homepage URL


Email

xzsykjk@163.com


Sponsor or person

Institute

Xuzhou Cancer Hospital

Institute

Department

Personal name



Funding Source

Organization

Xuzhou Cancer Hospital

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

Xuzhou Cancer Hospital

Address

No.131 Huancheng Road, Gulou District, Xuzhou City, Jiangsu Province, P.R.China

Tel

+8619105168987

Email

xzsykjk@163.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

Xuzhou Cancer Hospital


Other administrative information

Date of disclosure of the study information

2026 Year 07 Month 09 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

2026 Year 07 Month 03 Day

Date of IRB


Anticipated trial start date

2026 Year 07 Month 15 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 07 Month 09 Day

Last modified on

2026 Year 07 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071157