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Hepatopancreaticobiliary and Foregut OperationsNCT06562179

A Prospective, Single-Center Investigation of the da Vinci SP® Surgical System in Hepatopancreaticobiliary and Foregut Operations for Benign and Malignant Disease

A study testing da Vinci SP® Single-Port Robotic Surgical System in people with Hepatopancreaticobiliary and Foregut Operations, run by AdventHealth at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to collect data to evaluate safety and performance of the da Vinci SP Surgical System, Instruments and Accessories in hepatopancreatic biliary (HPB) and Foregut operations. Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
da Vinci SP® Single-Port Robotic Surgical System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
1 siteUnited States
Study dates
14 May 2024to Jun 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Cholecystectomy Stage 1 - Inclusion Criteria:
  • Patients between the ages of 18 and 80 years of age
  • Either male or female
  • BMI ≤ 26 kg/m2
  • ASA ≤ 3
  • Diagnosed with benign disease
Show all 54Show fewer
  • Fundoplication Stage 1- Inclusion Criteria:
  • Patients diagnosed with GERD and/or hiatal hernia
  • Patients between the ages of 18 and 80 years of age
  • Either men or women
  • BMI ≤ 26 kg/m2
  • ASA ≤ 3
  • Gastrectomy Stage 2- Inclusion Criteria:
  • Patients between the ages of 18 and 80 years of age
  • Either men or women
  • BMI ≤ 26 kg/m2
  • ASA ≤ 3
  • Diagnosed with benign or relatively early malignant disease of the stomach
  • AJCC 8th edition T0 or T1 tumor pathology
  • AJCC 8th edition T2, T3, tumor pathology (following neoadjuvant therapy if necessary) at the discretion of the investigator
  • Free of metastatic disease
  • Distal Pancreatectomy Stage 2- Inclusion Criteria:
  • Patients between the ages of 18 and 80 years of age
  • Either men or women
  • BMI ≤ 26 kg/m2
  • ASA ≤ 3
  • Diagnosed with benign or malignant disease of the pancreas
  • No vascular involvement
  • Free of metastatic disease
  • Pancreaticoduodenectomy Stage 3- Inclusion Criteria:
  • Patients between the ages of 18 and 80 years of age
  • Either men or women
  • BMI ≤ 26 kg/m2
  • ASA ≤ 3
  • Diagnosed with benign or malignant disease of the pancreas
  • Diagnosed with benign or malignant distal bile duct disease
  • No vasculature involvement (i.e., no T4 disease, pancreatic or Stage 4a or b disease, or distal bile duct Stage 3b or 4 disease)
  • Free of metastatic disease
  • Esophagectomy Stage 3- Inclusion Criteria:
  • Patients between the ages of 18 and 80 years of age
  • Either men or women
  • BMI ≤ 26 kg/m2
  • ASA ≤ 3
  • Diagnosed with benign or malignant disease of the esophagus
  • AJCC 8th edition T0, T1a, T1b, T2 (without other indications for neoadjuvant therapy) tumor pathology
  • AJCC 8th edition some T2, T3, or T4a, (following neoadjuvant therapy) at the discretion of the investigator
  • Free of metastatic disease
  • Hepatectomy Stage 4- Inclusion Criteria:
  • Patients between the ages of 18 and 80 years of age
  • Either men or women
  • BMI ≤ 26 kg/m2
  • ASA ≤ 3
  • Diagnosed with benign or malignant disease of the liver or bile duct
  • Free of metastatic disease, not including metastatic disease to the liver (e.g., colorectal liver metastases)

Who cannot join

  • Cholecystectomy Stage 1- Exclusion Criteria:
  • Subject requiring an emergent operation
  • Pregnancy or nursing
  • BMI > 26 kg/m2
  • Previous abdominal surgery
  • Subjects with malignant disease
Show all 62Show fewer
  • Inability to provide informed consent
  • Contraindicated for general anesthesia or minimally invasive surgery
  • Fundoplication Stage 1- Exclusion Criteria:
  • Subject requiring an emergent operation
  • Pregnancy or nursing
  • BMI > 26 kg/m2
  • Previous abdominal surgery
  • Inability to provide informed consent
  • Contraindicated for general anesthesia or minimally invasive surgery
  • Gastrectomy Stage 2- Exclusion Criteria:
  • Subject requiring an emergency operation
  • Pregnancy or nursing
  • BMI > 26 kg/m2
  • Previous abdominal surgery
  • Inability to provide informed consent
  • Contraindicated for general anesthesia or minimally invasive surgery
  • AJCC 8th edition T2, T3, T4a, T4b tumor pathology (without neoadjuvant therapy unless contraindicated)
  • Clinical or radiological evidence of distant metastatic disease
  • Distal Pancreatectomy Stage 2- Exclusion Criteria:
  • Subject requiring an emergent operation
  • Pregnancy or nursing
  • BMI > 26 kg/m2
  • Previous abdominal surgery
  • Inability to provide informed consent
  • Contraindicated for general anesthesia or minimally invasive surgery
  • Tumor involvement with surrounding vasculature (e.g., common hepatic artery, superior mesenteric artery, superior mesenteric vein, portal vein)
  • Clinical or radiological evidence of metastatic disease
  • Pancreaticoduodenectomy Stage 3- Exclusion Criteria:
  • Subject requiring an emergent operation
  • Pregnancy or nursing
  • BMI > 26 kg/m2
  • Previous abdominal surgery
  • Inability to provide informed consent
  • Contraindicated for general anesthesia or minimally invasive surgery
  • Tumor involvement with surrounding vasculature (e.g., T4a for pancreatic disease: common hepatic artery, superior mesenteric artery, superior mesenteric vein, portal vein)
  • Tumor involvement with surrounding vasculature (e.g., T3b for bile duct disease: common hepatic artery, superior mesenteric artery, superior mesenteric vein, portal vein)
  • Clinical or radiological evidence of metastatic disease
  • Esophagectomy Stage 3- Exclusion Criteria:
  • Subject requiring an emergency operation
  • Pregnancy or nursing
  • BMI > 26 kg/m2
  • Previous abdominal surgery
  • Inability to provide informed consent
  • Contraindicated for general anesthesia or minimally invasive surgery
  • AJCC 8th edition T2 (in some circumstances), T3, and T4a tumor pathology (without neoadjuvant therapy)
  • Clinical or radiological evidence of distant metastatic disease
  • Hepatectomy Stage 4- Exclusion Criteria:
  • Subject requiring an emergency operation
  • Pregnancy or nursing
  • BMI > 26 kg/m2
  • Previous abdominal surgery
  • Inability to provide informed consent
  • Contraindicated for general anesthesia or minimally invasive surgery
  • Perihilar cholangiocarcinoma (i.e., Klatskin tumor)
  • Involvement of major vasculature (ex: portal vein, hepatic artery, or inferior vena cava)
  • Clinical or radiological evidence of metastatic disease

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • AdventhHealth

    Tampa, Florida, 33613

    Daniel Robledo, MS, 8139716000 ext. 56518, danel.robledo@adventhealth.com

    Sharona Ross, MD

    Recruiting

Other trials in United States

About this study

Official title: A Prospective, Single-Center Investigation of the da Vinci SP® Surgical System in Hepatopancreaticobiliary and Foregut Operations for Benign and Malignant Disease.

The purpose of this study is to collect data to evaluate safety and performance of the da Vinci SP Surgical System, Instruments and Accessories in hepatopancreatic biliary (HPB) and Foregut operations. HPB and Foregut operations of this study consist of cholecystectomy, fundoplication, gastrectomy, distal pancreatectomy, pancreaticoduodenectomy, esophagectomy, and hepatectomy.

Being tested
da Vinci SP® Single-Port Robotic Surgical System
Keywords
SP DaVinci, Gallbladder removal, Esophageal procedures, Gastric resections, Pancreas procedures, Liver procedures

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • da Vinci SP® Single-Port Robotic Surgical SystemDevice

    The da Vinci SP® Surgical System is designed to enable the performance of surgical procedures using a minimally invasive single-port approach. The system consists of a Surgeon Console, a Vision Cart, and a Patient Cart and is used with a camera, instruments, and accessories.

Study groups in NCT06562179
Study groupRoleWhat they receive
da Vinci SP® Single-Port Robotic Surgical SystemExperimentalThis study will be separated into four stages, depending on the condition the participant is diagnosed with. Each Participant will go through (1) one operation. Stage One will include five (5) subjects who undergo cholecystectomy and five (5) subjects who undergo hiatal hernia repair with fundoplication (Nissen or Toupet) for a total of ten (10) subjects. Stage Two will include five (5) subjects who undergo gastrectomy and five (5) subjects who undergo distal pancreatectomy for a total of ten (10) subjects. Stage Three will include five (5) subjects who undergo pancreaticoduodenectomy and five (5) subjects who undergo esophagectomy for a total of ten (10) subjects. Stage Four will include five (5) subjects who undergo hepatectomy
Receives: Device: da Vinci SP® Single-Port Robotic Surgical System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Completion Using the planned da Vinci SP-assisted Single Port Robot.

    The number of subjects who completed the planned da Vinci SP-assisted operation without conversion to an alternate approach. Conversion to an alternate approach comprises conversion to open, multiport laparoscopic, multiport robotic or hand-assisted approach requiring undocking of the da Vinci SP Surgical System in order to complete the planned operation using the alternate approach.

    Measured: 12 months

  2. Intraoperative and post-operative adverse events

    The incidence of all intraoperative and post-operative adverse events that occur through the 24-month follow-up period.

    Measured: 24 months

  3. Number of Positive resection Margins

    Number of positive resection margins in patients with Malignant disease.

    Measured: 24 months

  4. Number of Lymph node yield

    Number of lymph node yield in patients with Malignant disease.

    Measured: 24 Months

Secondary outcomes (13)
  1. Physical Status Classification

    Assessment of the fitness of patient before surgery using the ASA Physical Status Score:

    Class I - A patient in normal health Class II - A patient with mild systemic disease resulting in no functional limitations Class III - A patient with severe systemic disease that limits activity, but is not incapacitating Class IV - A patient with severe systemic disease that is a constant threat to life Class V - A moribund patient not likely to survive without the operation Class VI - A patient already declared brain dead whose organs are being removed for donor purposes

    Measured: Pre-Operative Visit

  2. Charlson Comorbidity Index Score

    Predicts one-year mortality for patients with a range of comorbid conditions, helping the physician determine how aggressively to treat a condition.

    This index score is assessed by assigning points (1,2,3 or 6) based on the likelihood of dying associated to 17 different conditions (co-morbidities). Scores are summed to provide a total score to predict mortality. Comorbidity classification is categorized as low (score ≤ 3), moderate (score 4 and 5), high (score 6 and 7), and very high comorbidity (score ≥ 8)

    Measured: Pre-Operative Visit

  3. Operative Time

    Measured in minutes

    Measured: Intraoperative

  4. Estimated blood loss

    Measured after surgery in milliliters of blood. Estimated based on blood infusion volume during the surgery.

    Measured: Intraoperatively

  5. Intraoperative complications

    Incidence rate - number of intraoperatively complications during surgery.

    Measured: Intraoperatively

  6. Postoperative complications

    Incidence number of complications, assessed through electronic medical records (EMR) at 10 days 60 days post-surgery.

    Measured: 10 day, 2 months post surgery

  7. Post surgery complications

    Rate of complications collected in the electronic medical using the Clavien-Dindo classification system for grading adverse events.

    Classification of surgical complications:

    Grade I - Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic and radiological interventions.

    Grade II - Requiring pharmacological treatment with drugs. Blood transfusions and total parenteral nutrition are also included

    Grade III - Requiring surgical, endoscopic or radiological intervention Grade IIIa - Intervention not under general anesthesia Grade IIIb - Intervention under general anesthesia

    Grade IV - Life threatening complication (including Central Nervous System (CNS) complications) requiring IC/ICU management Grade IVa - Single organ dysfunction (including dialysis) Grade IVb - Multiorgan dysfunction

    Grade V - Death of a patient

    Measured: 2 months post surgery

  8. In-hospital mortality

    Has patient expired during in-hospital stay post-surgery.

    Measured: 10 days post-surgery

  9. Date of Discharge

    Measured in number of days

    Measured: 10 days post-surgery

  10. Survival

    Assessed through follow-up visits. Data collected through patient's chart in the electronic medical record (EMR).

    Measured: 10 days, 2, months, annually through year 5

  11. Disease reoccurrence

    Review of EMR records for new diagnosis assessed at schedule visits. Measured in number of days until reoccurrence diagnosis is noted in the patients' record.

    Measured: 10 day, 2 month and annually through year 5

  12. 30-Day Readmission

    Review of EMR records for any readmission following discharge post surgery

    Measured: 30 days post surgery

  13. 30-day complications

    Assessed as number of complications experienced by patient in the 30-day period post-surgery.

    Measured: 30 days post surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Aug 2024
  2. Study start14 May 2024
  3. Primary completionJun 2026 (estimated)
  4. Study completionJun 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
35 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06562179
Sponsor's protocol ID
1907766
Status last verified
Jun 2026
First submitted
29 Jul 2024
Last updated
11 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Rosemurgy A, Wilfong C, Craigg D, Co F, Sucandy I, Ross S. The Evolving Landscape of Esophageal Cancer: A Four-Decade Analysis. Am Surg. 2019 Sep 1;85(9):944-948.

    PubMed 31638504
  • Golkar FC, Ross SB, Sperry S, Vice M, Luberice K, Donn N, Morton C, Hernandez JM, Rosemurgy AS. Patients' perceptions of laparoendoscopic single-site surgery: the cosmetic effect. Am J Surg. 2012 Nov;204(5):751-61. doi: 10.1016/j.amjsurg.2011.07.026.

    PubMed 23140831
  • Ross S, Rosemurgy A, Albrink M, Choung E, Dapri G, Gallagher S, Hernandez J, Horgan S, Kelley W, Kia M, Marks J, Martinez J, Mintz Y, Oleynikov D, Pryor A, Rattner D, Rivas H, Roberts K, Rubach E, Schwaitzberg S, Swanstrom L, Sweeney J, Wilson E, Zemon H, Zundel N. Consensus statement of the consortium for LESS cholecystectomy. Surg Endosc. 2012 Oct;26(10):2711-6. doi: 10.1007/s00464-012-2478-y. Epub 2012 Aug 31.

    PubMed 22936433
  • Ross S, Roddenbery A, Luberice K, Paul H, Farrior T, Vice M, Patel K, Rosemurgy A. Laparoendoscopic single site (LESS) vs. conventional laparoscopic fundoplication for GERD: is there a difference? Surg Endosc. 2013 Feb;27(2):538-47. doi: 10.1007/s00464-012-2476-0. Epub 2012 Jul 18.

    PubMed 22806533
  • Sukharamwala P, Teta A, Ross S, Co F, Alvarez-Calderon G, Luberice K, Rosemurgy A. Over 250 Laparoendoscopic Single Site (LESS) Fundoplications: Lessons Learned. Am Surg. 2015 Sep;81(9):870-5.

    PubMed 26350663
  • Rosemurgy AS, Downs D, Swaid F, Ross SB. Laparoendoscopic Single-Site (LESS) Nissen Fundoplication: How We Do It. J Gastrointest Surg. 2016 Dec;20(12):2093-2099. doi: 10.1007/s11605-016-3290-0. Epub 2016 Oct 11. No abstract available.

    PubMed 27730403
  • Ryan CE, Ross SB, Sukharamwala PB, Sadowitz BD, Wood TW, Rosemurgy AS. Distal pancreatectomy and splenectomy: a robotic or LESS approach. JSLS. 2015 Jan-Mar;19(1):e2014.00246. doi: 10.4293/JSLS.2014.00246.

    PubMed 25848192
  • Barbaros U, Sumer A, Demirel T, Karakullukcu N, Batman B, Icscan Y, Saricam G, Serin K, Loh WL, Dinccag A, Mercan S. Single incision laparoscopic pancreas resection for pancreatic metastasis of renal cell carcinoma. JSLS. 2010 Oct-Dec;14(4):566-70. doi: 10.4293/108680810X12924466008448.

    PubMed 21605524
  • Rosemurgy AS, Ross SB, Espeut A, Nguyen D, Crespo K, Syblis C, Vasanthakumar P, Sucandy I. Survival and Robotic Approach for Pancreaticoduodenectomy: A Propensity Score-Match Study. J Am Coll Surg. 2022 Apr 1;234(4):677-684. doi: 10.1097/XCS.0000000000000137.

    PubMed 35290288
  • Rosemurgy A, Ross S, Bourdeau T, Craigg D, Spence J, Alvior J, Sucandy I. Robotic Pancreaticoduodenectomy Is the Future: Here and Now. J Am Coll Surg. 2019 Apr;228(4):613-624. doi: 10.1016/j.jamcollsurg.2018.12.040. Epub 2019 Jan 23.

    PubMed 30682410
  • Rosemurgy A, Ross S, Bourdeau T, Jacob K, Thomas J, Przetocki V, Luberice K, Sucandy I. Cost Analysis of Pancreaticoduodenectomy at a High-Volume Robotic Hepatopancreaticobiliary Surgery Program. J Am Coll Surg. 2021 Apr;232(4):461-469. doi: 10.1016/j.jamcollsurg.2020.12.062. Epub 2021 Feb 10.

    PubMed 33581292
  • Belfiori G, Crippa S, Francesca A, Pagnanelli M, Tamburrino D, Gasparini G, Partelli S, Andreasi V, Rubini C, Zamboni G, Falconi M. Long-Term Survivors after Upfront Resection for Pancreatic Ductal Adenocarcinoma: An Actual 5-Year Analysis of Disease-Specific and Post-Recurrence Survival. Ann Surg Oncol. 2021 Dec;28(13):8249-8260. doi: 10.1245/s10434-021-10401-7. Epub 2021 Jul 13.

    PubMed 34258720
  • Sucandy I, Shapera E, Syblis CC, Crespo K, Przetocki VA, Ross SB, Rosemurgy AS. Propensity score matched comparison of robotic and open major hepatectomy for malignant liver tumors. Surg Endosc. 2022 Sep;36(9):6724-6732. doi: 10.1007/s00464-021-08948-3. Epub 2022 Jan 3.

    PubMed 34981238
  • Aghayan DL, Kazaryan AM, Dagenborg VJ, Rosok BI, Fagerland MW, Waaler Bjornelv GM, Kristiansen R, Flatmark K, Fretland AA, Edwin B; OSLO-COMET Survival Study Collaborators. Long-Term Oncologic Outcomes After Laparoscopic Versus Open Resection for Colorectal Liver Metastases : A Randomized Trial. Ann Intern Med. 2021 Feb;174(2):175-182. doi: 10.7326/M20-4011. Epub 2020 Nov 17.

    PubMed 33197213
  • Fretland AA, Dagenborg VJ, Bjornelv GMW, Kazaryan AM, Kristiansen R, Fagerland MW, Hausken J, Tonnessen TI, Abildgaard A, Barkhatov L, Yaqub S, Rosok BI, Bjornbeth BA, Andersen MH, Flatmark K, Aas E, Edwin B. Laparoscopic Versus Open Resection for Colorectal Liver Metastases: The OSLO-COMET Randomized Controlled Trial. Ann Surg. 2018 Feb;267(2):199-207. doi: 10.1097/SLA.0000000000002353.

    PubMed 28657937

Questions about this trial

What is this clinical trial studying?

A study testing da Vinci SP® Single-Port Robotic Surgical System in people with Hepatopancreaticobiliary and Foregut Operations, run by AdventHealth at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 54 inclusion and 62 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 11 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Daniel Robledo, MS (8139716000 ext. 56518, daniel.robledo@adventhealth.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Completion Using the planned da Vinci SP-assisted Single Port Robot. (time frame: 12 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06562179, which also lists 22 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2026.

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