Laparoscopic Approach for Emergency Colon Resection

Joint Authority for Päijät-Häme Social and Health Care

Status: Enrolling

Conditions: Laparoscopic Surgery; Emergencies; Complication of Surgical Procedure; Colorectal Disorders; Long-term Effects of Cancer Treatment; Colorectal Cancer

Treatments: Procedure: Open operation; Procedure: Laparoscopic operation

Study type: Interventional

Funder types: Other

Identifiers

NCT05005117

Q048

Details and patient eligibility

About

This is a randomized, controlled, parallel, multicenter trial to compare post-operative complications and long-term results between open and laparoscopic technique in emergency colorectal surgery.

Full description

Laparoscopic technique in elective colorectal surgery has been shown to be advantageous for patients compared to open technique. However, the feasibility and potential benefits of laparoscopic colorectal surgery in emergency setting has not been evaluated sufficiently.

The aim of this study is to compare laparoscopic and open technique in emergency colon resections. Primary outcome is the immediate recovery after operation and secondary outcome is long-term overall and cancer-specific survival.

Enrollment: 192 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• all patients in need of emergency colon resection

Exclusion criteria

• age < 18 year
• trauma patients
• reoperations
• acute pancreatitis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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192 participants in 2 patient groups

Laparoscopic operation

Experimental group

Description:

Laparoscopic emergency colon resection

Treatment:

Procedure: Laparoscopic operation

Open operation

Active Comparator group

Description:

Open emergency colon resection

Treatment:

Procedure: Open operation