UMIN-ICDS Clinical Trial

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

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Basic information

Public title

Safety and efficacy of tubeless laparoscopic surgery for adrenal tumors

Acronym

Tubeless adrenal laparoscopic surgery study

Scientific Title

Safety and Efficacy of Tubeless Protocol in Selected Cases Undergoing Retroperitoneal Laparoscopic Adrenal Tumor Resection

Scientific Title:Acronym

Tubeless adrenal resection cohort study

Region

Asia(except Japan)


Condition

Condition

Benign adrenal tumors (non-functional adenoma, aldosteronoma, pheochromocytoma, myelolipoma) requiring retroperitoneal laparoscopic resection

Classification by specialty

Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Postoperative length of hospital stay

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

Other

Interventions/Control_1

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.

Interventions/Control_2

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.

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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.

Target sample size

86


Research contact person

Name of lead principal investigator

1st name Yan
Middle name
Last name Zhao

Organization

Xuzhou Cancer Hospital

Division name

Xuzhou Cancer Hospital, 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

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)

Organization

Division

Category of Funding Organization

Government offices of other countries

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



Other administrative information

Date of disclosure of the study information

2026 Year 07 Month 25 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

86

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

Completed

Date of protocol fixation

2025 Year 08 Month 01 Day

Date of IRB

2025 Year 05 Month 25 Day

Anticipated trial start date

2025 Year 08 Month 01 Day

Last follow-up date

2026 Year 07 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 25 Day

Last modified on

2026 Year 07 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071334