Randomized Study Comparing Intra-Corporeal Anastomosis to Extra-Corporeal in Minimally Invasive Right Hemicolectomy for Colorectal Disorders

What this Trial Is About

The trial is focused on adult patients scheduled for a minimally invasive right hemicolectomy, a surgical procedure involving removal of portions of the colon and creation of an anastomosis. Researchers aim to determine whether doing this surgery with an intra-corporeal anastomosis leads to a quicker return of bowel function and earlier hospital discharge compared to other methods. This study is randomized and evaluates key surgical outcomes to improve recovery after colorectal surgery. Participants undergo right hemicolectomy through either a robotic or laparoscopic minimally invasive approach. The study compares two groups one receiving an intra-corporeal anastomosis and the other an extra-corporeal approach. Both groups have similar surgical techniques with variations in anastomosis creation. The study tracks outcomes during surgery and up to six weeks postoperatively, including bowel function, incision size, narcotic use, infection rates, complications, and surgery costs. During the study, participants have assessments focusing on return of bowel function within two weeks after surgery, along with measuring hospital stay length, incision length on surgery day, narcotic use, and complications such as infections and overall morbidity. Data on operating room charges are also collected. Follow-up evaluations extend up to six weeks to monitor surgical site infections. The total participation duration varies based on recovery and monitoring within this postoperative period.

Intra-Corporeal Anastomosis Result in Quicker Return of Bowel Function/Earlier Discharge