跳至主要内容
临床试验/NCT02871960
NCT02871960Unknown不适用

Evaluation of Surgical Stress and Immune Response After Minimally Invasive Colorectal Surgery (ESSIMIC)

Federico II University0 个研究点目标入组 170 人开始时间: 2016年1月1日最近更新:
适应症

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

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

发起方
Federico II University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Francesco Milone

Professor of Surgery

Federico II University

相似试验