Implementation of an Enhanced Recovery Program After Laparoscopic Colon Cancer Surgery
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 180
- 试验地点
- 2
- 主要终点
- Length of hospital stay
研究概览
简要总结
An enhanced recovery program has been developed to provide for colon cancer patients faster and more personalized postoperative treatment. Most of the previous studies have showed that the efficacy of the enhanced recovery program on both subjective and objective physical recovery of patients. However, such studies are rarely conducted in South Korea. The purpose of this study is to evaluate the feasibility and efficacy of a postoperative enhanced recovery program in patients who underwent laparoscopic colon cancer surgery at a tertiary hospital in Korea.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Eligibility rule of enrollment
- •Pathologically diagnosed colon cancer
- •Stage I-III
- •No functional disturbance in liver, kidney, bone marrow
- •Informed consent
排除标准
- •Emergent operation
- •Obstructive or perforated cancer
- •Rectosigmoid or rectal cancer
- •Synchronous tumor
- •Uncontrolled psychiatric or neurologic problems
- •Severe hepatic dysfunction (GOT, GPT ≥100IU/L)
- •Renal dysfunction (Cr ≥2mg/dl)
- •Recent MI, CVA, nitrate medication
研究组 & 干预措施
ERAS group
early recovery program with no preoperative mechanical bowel preparation, early diet initiation, and prevention of postoperative ileus after elective laparoscopic colon cancer surgery
干预措施: Enhanced recovery program (Other)
Congrol group
Traditional, conventional perioperative treatment
结局指标
主要结局
Length of hospital stay
时间窗: 30 days post-operatively
Duration of hospital stay from the date of operation to the date when a patient meets the following "discharge criteria". Discharge criteria: * Tolerance of consecutive 3 soft diet * Recovery of bowel function (without PONV) * No necessity of intravenous analgesics * Stable vital sign (afebrile)
Actual hospital stay
时间窗: 30 days post-operatively
次要结局
- Quality of life(up to 30days from time of surgery)
- Nutritional status(up to 30days from time of surgery)
- Readmission rate(30 days from time of surgery)
- 30-day morbidity(30 days from time of surgery)
- 30-day mortality(30 days from time of surgery)
研究者
Gyu-Seog Choi
Director, Head of colorectal cancer center, Principal Investigator, Professor
Kyungpook National University Hospital
