Influence of Arrangement of Small Intestine Order on the Recovery of Bowel Function After Laparoscopic Colorectal Surgery

Naval Military Medical University

Status: Completed

Conditions: Postoperative Complications

Treatments: Procedure: Arrangement of small intestine order before close the abdomen

Study type: Interventional

Funder types: Other

Identifiers

NCT05485857

CHCS-intestine

Details and patient eligibility

About

The method of arranging and restoring the position of the small intestine under laparoscopy is used to determine whether it can promote the recovery of intestinal function after colorectal surgery.

Enrollment: 160 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pathologically confirmed colorectal cancer, patients undergoing colon cancer or radical resection of high rectal cancer；
• Tumor Stage (TNM): I-III；
• Age: >18 years old; <80 years old;
• ASA: I-III;
• Agree and sign the informed consent form.

Exclusion criteria

• Stoma patients；
• Patients with preoperative intestinal obstruction；
• Constipation patients (More than three days before the last bowel movement)；
• Combined other organ resection patients；
• Stroke or spinal cord injury patients；
• Long-term opioid use patients；
• Patients with a history of previous abdominal surgery；
• Patients refused entry into the trial；

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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160 participants in 2 patient groups

Arrangement group

Experimental group

Description:

Experimental group: After the completion of laparoscopic-assisted colorectal cancer surgery, the chief surgeon performed laparoscopic small bowel arrangement before closing the abdomen, straightening the small bowel from the colon-small bowel anastomosis or the ileocecal valve to the ligament of Trevor, and restoring the original position of the small bowel. Afterwards, close the abdomen.

Treatment:

Procedure: Arrangement of small intestine order before close the abdomen

No arrangement group

No Intervention group

Description:

No arrangement group: After completing the routine operation of laparoscopic-assisted colorectal cancer surgery, the abdomen was closed directly.