Laparoscopic Approach for Emergency Colon Resection: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Laparoscopic operation
- Conditions
- Laparoscopic Surgery
- Sponsor
- Joint Authority for Päijät-Häme Social and Health Care
- Enrollment
- 192
- Locations
- 2
- Primary Endpoint
- postoperative morbidity
- Status
- Active, not recruiting
- Last Updated
- 10 days ago
Overview
Brief Summary
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.
Detailed 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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •all patients in need of emergency colon resection
Exclusion Criteria
- •age \< 18 year
- •trauma patients
- •reoperations
- •acute pancreatitis
Arms & Interventions
Laparoscopic operation
Laparoscopic emergency colon resection
Intervention: Laparoscopic operation
Open operation
Open emergency colon resection
Intervention: Open operation
Outcomes
Primary Outcomes
postoperative morbidity
Time Frame: 30 days
Postoperative morbidity evaluated by Clavien-Dindo classification
Secondary Outcomes
- Surgical site infections(30 days)
- Long-term Survival(5 years)