Colon Carcinoma Clinical Trial
— SPONGEOfficial title:
Randomized Controlled Trial to Evaluate the Effect of a Retractor Sponge in Postoperative Hospital Stay in Laparoscopic Colorectal Surgery in Patients With Malignancy
NCT number | NCT03334383 |
Other study ID # | 49877 |
Secondary ID | 49877 |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | January 2015 |
Est. completion date | October 2020 |
Laparoscopic surgery of the distal colon and rectum requires surgery with an appropriate field of view. A commonly used technique to create a clear exposure is the steep Trendelenburg position in which the patient is positioned in an angle of 15 to 40 degrees with the head down using the effect of gravity to retract the small intestine. This method is associated with haemostatic changes caused by the cranial shift of abdominal organs and blood. Recently, a cellulose compressed sponge was developed as intraoperative retractor, with the aim to keep the small intestines aside while the patient remains in a horizontal position. The safety of the sponge is secured with CE marking. The retractor sponge ensures a clear surgical field and potentially prevents haemostatic instability by avoiding Trendelenburg position. A pilot study in the St Antonius Hospital Nieuwegein has shown that use of the sponge might be associated with shorter hospital stay.
Status | Recruiting |
Enrollment | 188 |
Est. completion date | October 2020 |
Est. primary completion date | June 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 95 Years |
Eligibility |
Inclusion criteria: - Participant in the PICNIC project (METC 12-510) - Informed consent obtained for being offered experimental interventions within the PICNIC project - Informed consent obtained for questionnaires on patient reported outcomes within the PICNIC project - Planned for laparoscopic surgery of distal colorectal cancer in St. Antonius Hospital Exclusion Criteria: - Planned for open colorectal surgery - Surgery for benign colorectal diseases - Emergency colorectal surgery - Inadequate understanding of the Dutch language in speech and/or writing |
Country | Name | City | State |
---|---|---|---|
Netherlands | St. Antonius Hospital | Nieuwegein | Utrecht |
Lead Sponsor | Collaborator |
---|---|
St. Antonius Hospital |
Netherlands,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Postoperative hospital stay (days) | Based on a discharge checklist | Up to 4 weeks | |
Secondary | Operation time | minutes | Up to 4 hours | |
Secondary | Blood-loss peroperative | ml | During surgery time | |
Secondary | Diuretics peroperative and postoperative | mg | Up to 4 weeks (during hospital stay) | |
Secondary | Postoperative hypoxemia | O2 saturation | Up to 1 week | |
Secondary | Peri- and postoperative surgical complications | number | Up to 4 weeks | |
Secondary | Pulmonary complications. | number | Up to 4 weeks | |
Secondary | Cardiac complications | number | Up to 4 weeks |
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