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A single-arm, single-center prospective study of a novel double purse-string technique for constructing the colorectal anastomosis in robot-assisted laparoscopic resection of the sigmoid colon for cancer.
In all, 30 consecutive patients will be enrolled. The first 5 will be regarded as a pilot series for testing and aligning the study setup. The next 25 patients will form the study group. The clinical outcomes will be compared with historical control patients from our own department. Safety and feasibility will be assessed by short-term clinical outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Experimental | Robot-assisted laparoscopic resection of sigmoid colon with colorectal anastomosis constructed by the double purse-string technique |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SIA | Procedure | As indicated by arm description |
|
| Measure | Description | Time Frame |
|---|---|---|
| Technical success | Successful construction of anastomosis by double purse-string technique | 30 days |
| Complications | Surgical complications graded by Clavien-Dindo | 30 days |
| Mortality | Postoperative death | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| LOS | Length of stay - number of days from day of operation to discharge | 90 days |
| Readmissions | Unplanned hospital admissions at least 24 hs after discharge |
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Inclusion Criteria (all must be fulfilled):
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Helene J Würtz, MD | Staff Surgeon | Principal Investigator |
| Flemming H Dall, MD PhD | Consultant | Principal Investigator |
| Hans B Rahr, MD DMSc | Department Head | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vejle Hospital, Department of Surgery | Vejle | DK7100 | Denmark |
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| ID | Term |
|---|---|
| D003110 | Colonic Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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| 30 days |
| Operation time | Duration of operation from incision to last skin stitch | 30 days |
| Blood loss | Estimated intraoperative blood loss in ml | 30 days |
| Medical complications | Medical complications graded by Clavien-Dindo and MESS | 30 days |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |