Cost Effectiveness of Laparoscopic Colorectal Surgery

Completed

• Conditions: Colorectal Surgery
• Interventions: Procedure: laparoscopic colorectal resection; Procedure: open colorectal resection

• Registration Number: NCT00884130
• Lead Sponsor: University of Surrey

Brief Summary

Hypothesis: The total costs of laparoscopic colorectal surgery are less than those of open surgery.

Secondary hypothesis: Patients quality of life is higher following laparoscopic surgery, as compared to open colorectal surgery.

Research objectives:

1. To estimate the cost implications and clinical benefits of incorporating laparoscopic colorectal surgery into routine clinical practice.

2. To examine whether the increased operative costs of laparoscopic surgery are compensated for by a faster recovery, shorter duration of hospital stay, and a reduction in late complications, as compared to open surgery.

3. To investigate whether there are differences in quality of life following laparoscopic colorectal surgery as compared to open surgery.

Lay summary:

Patients needing an operation for a bowel problem have traditionally had an open operation with an incision on the abdomen, and this is the type of operation that is currently performed in the majority of cases in the United Kingdom today (over 90%). Laparoscopic (or keyhole) surgery has been introduced into bowel surgery, but is currently not widely performed. This is because thus far there have been no clear-cut benefits demonstrated with this technique and the perceived costs are higher than an open operation. The investigators aim to evaluate both of these issues.

Detailed Description

Not available

Study Timeline

• Study Start: 2006-01
• Primary Completion: 2007-08
• Study Completion: 2007-10
• Status Verified: 2009-04
• Study First Submitted: 2009-04-16
• Study First Submitted QC: 2009-04-16
• Last Update Submitted: 2009-04-16
• Study First Posted: 2009-04-20
• Last Update Posted: 2009-04-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• All patients having a colorectal resection, including benign and malignant tumours, inflammatory bowel disease, diverticular disease, and endometriosis

Exclusion Criteria

• Children
• Emergency procedures
• Patients unable to consent, unable to complete a quality of life diary

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Laparoscopic	laparoscopic colorectal resection	Patients having a laparoscopic colorectal resection
Open	open colorectal resection	Patients having an open colorectal resection

Primary Outcome Measures

Name	Time	Method
The cost effectiveness of laparoscopic colorectal surgery	6 weeks

Secondary Outcome Measures

Name	Time	Method
Costs of laparoscopic and open colorectal surgery	6 weeks
Quality of life of patients having laparoscopic and open colorectal surgery	6 weeks

Trial Locations

Locations (1)

Royal Surrey County Hospital; 🇬🇧 Guildford, Surrey, United Kingdom