| Unique ID issued by UMIN | UMIN000062574 |
|---|---|
| Receipt number | R000071624 |
| Scientific Title | A Randomized Controlled Trial Evaluating the Impact of the Zero Gravity Position on Robot Assisted Surgery in Urology |
| Date of disclosure of the study information | 2026/08/31 |
| Last modified on | 2026/08/29 08:58:42 |
A Study Examining How the Zero Gravity Position Affects Robot Assisted Surgery in Urology
The ZERO G Study
A Randomized Controlled Trial Evaluating the Impact of the Zero Gravity Position on Robot Assisted Surgery in Urology
The ZERO G Trial
| Japan |
Renal cell carcinoma, Renal pelvic carcinoma, Ureteral carcinoma, Adrenal tumor
| Urology |
Others
NO
In robot-assisted surgery which is performed in the lateral decubitus position, we will compare our newly developed Zero-Gravity position with the conventional position to evaluate their respective advantages and disadvantages.
Safety,Efficacy
Pain in the shoulder joint and both upper limbs, as well as the degree of peripheral neuropathy, will be assessed using questionnaires at 24 and 48 hours postoperatively. Postoperative pain will be evaluated using the Visual Analog Scale (VAS), and peripheral neuropathy will be assessed using the Numerical Rating Scale (NRS). In this study, postoperative 24 hours is defined as the period from 22 to 26 hours after the end of surgery, and postoperative 48 hours is defined as the period from 46 to 50 hours after the end of surgery.
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
2
Treatment
| Other |
In the intervention group (Zero-Gravity position group), the upper limbs will be repositioned as follows: the non-operative arm will be extended caudally and placed alongside the abdomen, while the operative arm will remain extended caudally but will be secured using an additional support so that it is positioned dorsally relative to the lumbar region.
In the control group (conventional position group), both upper arms will be fixed anterior to the face as in the standard surgical position.
| 18 | years-old | <= |
| Not applicable |
Male and Female
Participants undergoing robot-assisted partial nephrectomy, robot-assisted radical nephrectomy, robot-assisted nephroureterectomy, or robot-assisted adrenalectomy
Participants aged 18 years or older at the time of obtaining informed consent
Participants who are able to provide written informed consent for participation in this study
Patients who are unable to speak Japanese
Patients with impaired cognitive function
Patients with renal cell carcinoma classified as clinical T stage cT3b or higher
Patients with significant preoperative restriction of shoulder joint range of motion or upper-limb pain
Patients deemed inappropriate for inclusion by the principal investigator or co-investigatorsv
100
| 1st name | Nobuyuki |
| Middle name | |
| Last name | Hinata |
Hiroshima University Hospital
Department of Urology
7348551
1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima Prefecture, Japan
0822575242
uro-ikyoku@hiroshima-u.ac.jp
| 1st name | Ryoken |
| Middle name | |
| Last name | Yamanaka |
Hiroshima University Hospital
Department of Urology
734-0005
1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima Prefecture, Japan
0822575242
uro2626@hiroshima-u.ac.jp
Hiroshima University
Ryoken Yamanaka
Hiroshima University
Self funding
Japan
Hiroshima University Hospital, Department of Urology
1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima Prefecture, Japan
0822575242
uro-ikyoku@hiroshima-u.ac.jp
NO
| 2026 | Year | 08 | Month | 31 | Day |
Unpublished
Preinitiation
| 2026 | Year | 08 | Month | 13 | Day |
| 2026 | Year | 09 | Month | 01 | Day |
| 2030 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 08 | Month | 13 | Day |
| 2026 | Year | 08 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071624