Machine Learning-based Surgical Guidance System for Robot-assisted Rectal Surgery

ConditionRectum Cancer
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorTechnische Universität Dresden

About this trial

The aim of the study is to evaluate the technical feasibility and applicability of a surgical assistance system based on image recognition algorithms in a first-in-human pilot study. In addition, this study will provide preliminary data on the oncological outcome of the assistance system.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with rectal cancer scheduled for robot-assisted rectal resection

Intact preoperative urogenital/rectal function

Full capability of consent

Disqualifiers

Previous/Second malignant disease <5 years before diagnosis of rectal cancer

Previous abdominal surgery, except for laparoscopic appendectomy, laparoscopic cholecystectomy or Cesarean section

Pregnant or breastfeeding women

Addiction or illness that prevent the person concerned from assessing the nature and scope of the clinical trial and its possible consequences

Trial design

Design model

Single group

Treatments tested in this trial

  • Additional visualisation of surgical assistance during surgery

    Other intervention

    Robot-assisted anterior rectal resection using daVinci® system as CE-marked gold standard with additional visualization of surgical assistance functions based on machine learning techniques

Treatment groups

12 Participants
are divided into 1 treatment group
Group A: Additional visualisation of surgical assistance during surgeryExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of discrepancies between the surgeon's preparation and the prediction of the CoBot system

System discrepancy score quantifying major misspecifications of the CoBot system in comparison to the surgeon's action

Time frame
72 hours after Surgery

Secondary outcomes

1

Operating time [min]

Time from skin incision until placement of last skin staple/suture

Time frame
During Surgery
2

Duration of postoperative hospital stay [days]

Postoperative day 1 until day of discharge

Time frame
At day of discharge, assessed up to 5 days
3

Duration of postoperative intermediate/intensive care unit stay [days]

Postoperative day 1 until day of discharge

Time frame
At day of discharge, assessed up to 5 days
4

Frequency of peri-operative morbidity after resection

Frequency of peri-operative complications after surgery until Day of Discharge

Time frame
At day of discharge, assessed of up to 5 days

Other outcomes

Sponsors and contacts

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Technische Universität Dresden

Lead sponsor

German Cancer Research Center

Collaborator