Postoperative Ileus Clinical Trial
Official title:
A Randomized Clinical Trial of Electroacupuncture Versus Fast-track Perioperative Program for Reducing Duration of Postoperative Ileus and Hospital Stay After Laparoscopic Colorectal Surgery
Background: Our previous study demonstrated that electroacupuncture at Zusanli, Sanyinjiao,
Hegu, and Zhigou reduces the duration of postoperative ileus and hospital stay after
laparoscopic colorectal surgery within a traditional perioperative care setting. Recent
evidence also suggested that a 'fast-track' perioperative program may help accelerate
recovery after colorectal surgery. As electroacupuncture is simpler to implement and less
labor intensive, it may be the preferred adjunct therapy if it is proven to be noninferior
to fast-track program in reducing the duration of postoperative ileus and hospital stay
after laparoscopic colorectal surgery.
Objectives: To compare the efficacy of electroacupuncture and fast-track program in reducing
the duration of postoperative ileus and hospital stay after laparoscopic colorectal surgery.
Design: Prospective, randomized, noninferiority trial.
Subjects: One hundred sixty-four consecutive patients undergoing elective laparoscopic
resection of colonic and upper rectal cancer will be recruited.
Interventions: Patients will be randomly allocated to receive either: (A) electroacupuncture
with traditional perioperative care; or (B) fast-track program without acupuncture.
Outcome measures: Primary outcome: time to defecation. Secondary outcomes: duration of
hospital stay, time of first passing flatus, time to resume diet, pain scores, analgesic
requirement, morbidity, and medical costs.
Conclusions: This study will determine if electroacupuncture is noninferior to fast-track
program in reducing the duration of postoperative ileus and hospital stay after laparoscopic
colorectal surgery. Electroacupuncture may be the preferred perioperative adjunct therapy to
laparoscopic colorectal surgery because it is simpler to implement and less labor intensive
than fast-track program.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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