| Unique ID issued by UMIN | UMIN000062337 |
|---|---|
| Receipt number | R000071334 |
| Scientific Title | Safety and Efficacy of Tubeless Protocol in Selected Cases Undergoing Retroperitoneal Laparoscopic Adrenal Tumor Resection |
| Date of disclosure of the study information | 2026/07/25 |
| Last modified on | 2026/07/25 18:43:42 |
Safety and efficacy of tubeless laparoscopic surgery for adrenal tumors
Tubeless adrenal laparoscopic surgery study
Safety and Efficacy of Tubeless Protocol in Selected Cases Undergoing Retroperitoneal Laparoscopic Adrenal Tumor Resection
Tubeless adrenal resection cohort study
| Asia(except Japan) |
Benign adrenal tumors (non-functional adenoma, aldosteronoma, pheochromocytoma, myelolipoma) requiring retroperitoneal laparoscopic resection
| Urology |
Others
NO
To compare the safety and efficacy of stratified tubeless protocol versus routine drainage placement for retroperitoneal laparoscopic resection of benign adrenal tumors in a dual-center prospective observational cohort, by analyzing perioperative recovery indicators and complication rates. This study is Phase 1 of a two-stage tubeless adrenal research project under unified ethical approval.
Safety
Postoperative length of hospital stay
Interventional
Parallel
Non-randomized
Open -but assessor(s) are blinded
No treatment
2
Treatment
| Other |
Arm1: Tubeless protocol: laparoscopic adrenal resection without drainage tube, standardized hemostasis and vascular clipping, postoperative CT review.
Arm2: Conventional drainage: laparoscopic adrenal resection with routine indwelling retroperitoneal drainage tube.
Arm1: Tubeless protocol: laparoscopic adrenal resection without drainage tube, standardized hemostasis and vascular clipping, postoperative CT review.
Arm2: Conventional drainage: laparoscopic adrenal resection with routine indwelling retroperitoneal drainage tube.
| 18 | years-old | <= |
| 80 | years-old | >= |
Male and Female
1. Unilateral benign adrenal tumor confirmed by preoperative imaging;
2. Receiving retroperitoneal laparoscopic adrenal tumor resection via 3-port or 4-port approach;
3. Complete written informed consent obtained;
4. For tubeless group participants, all the following nine low-risk criteria must be fully satisfied:
(1) Age less than 61 years;
(2) Maximum tumor diameter less than 3.0 cm;
(3) Adrenal parenchyma and central adrenal vein occluded with locking clips;
(4) No surgical field adhesion or fat saponification;
(5) Intraoperative blood loss less than 80 mL;
(6) No intraoperative injury to peritoneum, kidney or other adjacent organs;
(7) Thorough intraoperative hemostasis without obvious wound exudation;
(8) No bleeding along trocar puncture tracts;
(9) No postoperative anticoagulant administration within 12 hours after surgery.
Patients who do not meet all nine tubeless criteria will be allocated to the conventional drainage group.
1. Preexisting coagulation disorders;
2. Oral anticoagulant medication taken within one week before surgery;
3. Cognitive dysfunction, communication disorders or severe psychiatric disorders unable to cooperate with treatment and follow-up;
4. Severe vital organ insufficiency or advanced systemic disease incompatible with general anesthesia;
5. Bilateral adrenal tumors;
6. Conversion to open surgery intraoperatively.
86
| 1st name | Yan |
| Middle name | |
| Last name | Zhao |
Xuzhou Cancer Hospital
Xuzhou Cancer Hospital, Department of Urology
221000
No.131 Huancheng Road, Gulou District, Xuzhou City, Jiangsu Province, P.R.China
+8615996959302
529735655@qq.com
| 1st name | Ya |
| Middle name | Sheng |
| Last name | Cao |
Xuzhou Cancer Hospital
Department of Science and Education
221000
No.131 Huancheng Road, Gulou District, Xuzhou City, Jiangsu Province, P.R.China
+8619105168987
xzsykjk@163.com
Xuzhou Cancer Hospital
the XZHMU-QL Joint Research Fund (QL-YB030) and the Xuzhou New Round of "Pengcheng Talent Program" High-level Health Talent Introduction and Training Project (2026GG006)
Government offices of other countries
Xuzhou Cancer Hospital
No.131 Huancheng Road, Gulou District, Xuzhou City, Jiangsu Province, P.R.China
+8619105168987
xzsykjk@163.com
NO
| 2026 | Year | 07 | Month | 25 | Day |
Unpublished
86
Completed
| 2025 | Year | 08 | Month | 01 | Day |
| 2025 | Year | 05 | Month | 25 | Day |
| 2025 | Year | 08 | Month | 01 | Day |
| 2026 | Year | 07 | Month | 31 | Day |
| 2026 | Year | 07 | Month | 25 | Day |
| 2026 | Year | 07 | Month | 25 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071334