Evaluation of Surgical Stress and Immune Response After Minimally Invasive Colorectal Surgery (ESSIMIC)
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 170
- 主要终点
- interleukin 1
研究概览
简要总结
The purpose of this study is to evaluate surgical stress and immune function after robotic versus laparoscopic colectomy.
详细描述
The short-term advantages of minimally invasive colon resection have been well established in several randomized trials. A major factor in the development of morbidity is the surgical stress response with subsequent increased demand on the patient's reserves and immune competence. Although the advantage in term of stress response of laparoscopic surgery over open surgery has been widely reported, little is known about the role of robotic surgery.
Robotic approaches have seen significant growth in the last 5 years. Taking advantage of three-dimensional visualization, improved articulation, and multiple operating arms provides theoretical advantages in colorectal cancer surgery. In an attempt to evaluate the surgical stress response and immune function after robotic colorectal surgery a comparative study has been designed. Two surgical procedures were evaluated: Robotic colorectal resection (Experimental group) and Laparoscopic colorectal resection (Control group).
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
- Single (Participant)
入排标准
- 年龄范围
- 50 Years 至 90 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Eligible patients will be those with a histologically confirmed malignancy planned for an elective, segmental, curative colectomy
排除标准
- •Patients with a previous midline laparotomy, emergency surgery, or immune depressant disease or medication will be excluded from this study. Peri-operative or post-operative complications will be considered exclusion criteria.
结局指标
主要结局
interleukin 1
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
interleukin 6
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
Tumor necrosis factor alpha
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
C-reactive protein
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
fibrinogen
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
prolactin
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
cortisol
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
insulin
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
glucagon
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
Adrenocorticotropic hormone
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
Growth hormone
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
human leukocyte antigen
时间窗: change between time before surgery, 24 hours after surgery, 72 hours after surgery
次要结局
未报告次要终点
研究者
Francesco Milone
Professor of Surgery
Federico II University
