Back to Trials
NCT03862781NARecruiting

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

Corewell Health West

Start Date

1/28/2019

Completion Date

12/1/2027

Summary

Adult patients who are regularly scheduled to undergo a right hemicolectomy via a minimally invasive approach (robotic or laparoscopic) with the creation of an anastomosis.

Detailed Description

The purpose of this trial is to investigate whether minimally invasive right colectomies done with an intra-corporeal anastomosis result in quicker return of bowel function and earlier discharge. The primary endpoint of this study will be return of bowel function as measured by passage of flatus and bowel motions. The secondary endpoints will be inpatient length of stay, incision length, postoperative narcotic use, surgical site infection (superficial, deep and organ-space), perioperative morbidity and operating room charges.

Eligibility Criteria

Age Range: 18 years to No maximum

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

Interventions

PROCEDURE

Right Hemicolectomy

Interested in This Trial?

Contact the trial locations directly using the information below to learn more about enrollment.

Expressing interest lets you review the study and consent before we connect you with the research site.

Conditions

Colorectal Disorders

Locations

Corewell Health Medical Group

Grand Rapids, Michigan 49546

United States