Intra-Corporeal Anastomosis Result in Quicker Return of Bowel Function/Earlier Discharge

Launched by SPECTRUM HEALTH HOSPITALS · Mar 1, 2019

Keywords

ClinConnect Summary

This clinical trial is looking at a surgical technique called intra-corporeal anastomosis, which is used during a minimally invasive surgery to remove part of the colon (known as a right hemicolectomy). The goal of the study is to see if this technique helps patients recover their bowel function faster and allows them to leave the hospital sooner after surgery. The trial is currently recruiting adult patients aged 18 and older who are scheduled for this type of surgery, as long as they do not have certain conditions, such as being pregnant or needing additional significant colon surgery at the same time.

If you qualify to participate in this trial, you can expect to undergo the minimally invasive surgery and be closely monitored during your recovery. The researchers will compare the recovery times and bowel function of participants who undergo this specific surgical technique. It's important to note that patients will not be eligible if the surgery needs to be changed to a more invasive approach during the procedure. This study aims to improve patient outcomes after surgery and provide valuable insights into the best practices for colorectal surgeries.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Eligible patients are those over 18 years of age who are regularly scheduled to undergo a right hemicolectomy via a minimally invasive approach (robotic or laparoscopic) with the creation of an anastomosis. Right colectomy will be defined as removal of the ascending colon, ligation of the ileocolic artery and vein, +/- removal of the terminal ileum, +/- removal of the proximal transverse colon, and +/- removal of the right branch of the middle colic artery and vein.
• Exclusion Criteria:
• • Pregnant women
• • Additional colon resection is planned (i.e. left colectomy or proctectomy)
• • Vulnerable populations such as prisoners or adults unable to give consent
• • If the scheduled surgery is planned at Butterworth hospital (as to standardize the nursing care received postoperatively)
• • Emergent cases
• Patients will be excluded from the study intra-operatively if:
• • The procedure is converted to an open resection
• • If a loop ileostomy is performed in addition to the right colectomy