UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062618
Receipt number R000071672
Scientific Title Robotic versus Laparoscopic Liver Resection fro Liver Tumors: A Multicenter Randomized Controlled Trial
Date of disclosure of the study information 2026/10/01
Last modified on 2026/08/19 17:51:01

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Basic information

Public title

Robotic versus Laparoscopic Liver Resection fro Liver Tumors: A Multicenter Randomized Controlled Trial

Acronym

Robotic versus Laparoscopic Liver Resection fro Liver Tumors: A Multicenter Randomized Controlled Trial

Scientific Title

Robotic versus Laparoscopic Liver Resection fro Liver Tumors: A Multicenter Randomized Controlled Trial

Scientific Title:Acronym

ROBOLIVER Trial

Region

Japan


Condition

Condition

Liver tumors (benign, borderline malignant, or malignant)

Classification by specialty

Surgery in general Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To confirm the superiority of complication rate more than Clavien-Dindo grade II occurring within 30 days after surgery in robotic liver resetion compared to laparoscopic liver resection

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Complication rate more than Clavien-Dindo grade II occurring within 30 days after surgery

Key secondary outcomes

1. Operating time
2. Total time of Pringle maneuver
3. Intraoperative blood loss
4. Amount of intraoperative transfusion
5. Conversion rate
6. Dischargability
7. Comprehensive complication index
8. Intraoperative complication rate
9. Late complication rate
10. Readmission rate within 90 days after surgery
11. R0 resection rate, mortality
12. Surgeon's stress evaluated by ActiGraph LEAP and SURG-TLX
13. Medical cost


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Robotic liver resection

Interventions/Control_2

laparoscopic liver resection

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

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients with suspected or histologically confirmed primary or metastatic liver tumors who are scheduled to undergo elective minimally invasive anatomical liver resection (RLR/LLR) with or without cholecystectomy.
Trisectionectomy
Hemihepatectomy or extended hemihepatectomy
Central bisectionectomy
Sectionectomy (posterior, anterior, or medial sectionectomy)
Segmentectomy (Couinaud segments 1, 2, 3, 4, 5, 6, 7, and 8)

2. Age between 18 and 84 years at the time of consent acquisition.
3. Eastern Cooperative Oncology Group Performance Status (ECOG-PS) of 0, 1, or 2.
4. Written informed consent obtained from the patient before enrollment.

Key exclusion criteria

1. Requirement for concomitant biliary reconstruction.
2. Requirement for concomitant resection of other organs, except for cholecystectomy.
3. Requirement for lymph node dissection
4. Known allergy or hypersensitivity to indocyanine green.
4. Pregnant or breastfeeding women, women within 28 days postpartum, or women with possible pregnancy.
5. Severe psychiatric disorder or cognitive impairment that may interfere with study participation or protocol compliance.
6. Severe uncontrolled systemic disease or active infection judged by the investigators to make participation inappropriate.
7. Any other condition that, in the opinion of the investigators, would render the patient unsuitable for enrollment in the trial.

Target sample size

500


Research contact person

Name of lead principal investigator

1st name Go
Middle name
Last name Wakabayashi

Organization

Ageo Central General Hospital

Division name

Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases

Zip code

362-8588

Address

1-10-10, Kashiwaza, Ageo city, Saitama

TEL

048-773-1111

Email

gowaka@ach.or.jp


Public contact

Name of contact person

1st name Hiroyuki
Middle name
Last name Nitta

Organization

School of Medicine, Iwate Medical University

Division name

Department of Surgery

Zip code

028-3695

Address

2-1-1 Idaidori, Yahaba, Shiwa-gun, Iwate

TEL

0196137111

Homepage URL


Email

hnitta@iwate-med.ac.jp


Sponsor or person

Institute

Endoscopic Liver Surgery Study Group

Institute

Department

Personal name



Funding Source

Organization

Endoscopic Liver Surgery Study Group

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Iwate Medical Univerisity

Address

2-1-1 Idaidori, Yahaba, Shiwa-gun, Iwate

Tel

0196137111

Email

aumemura@iwate-med.ac.jp


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 10 Month 01 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 08 Month 19 Day

Date of IRB


Anticipated trial start date

2026 Year 10 Month 01 Day

Last follow-up date

2029 Year 10 Month 19 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 08 Month 19 Day

Last modified on

2026 Year 08 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071672