Actively Recruiting

Age: 18Years +
All Genders
ID07132970

Assessment of Leakage Rate of Ileo-colic Sutured Anastomoses Using Polydioxanone Suture After Right Hemicolectomy for Cancer

Led by Aesculap AG · Updated on 2026-03-27

249

Participants Needed

3

Research Sites

34 weeks

Total Duration

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AI-Summary

What this Trial Is About

Researchers are studying patients with right colon cancer who are undergoing elective right hemicolectomy surgery to remove part of the colon. The study aims to evaluate the leakage rate of the ileo-colic anastomosis, which is the connection made between the ileum and colon after surgery. The goal is to see if using MonoPlusae suture material for this connection results in a leakage rate that is not worse than rates reported for other hand-sewn or stapled anastomosis techniques. Anastomosis leakage is an important complication that can cause further health problems in these patients. The study involves patients who receive a primary anastomosis without a protective stoma during either open or laparoscopic right hemicolectomy or extended hemicolectomy surgery. The ileo-colic anastomosis is constructed using MonoPlusae suture material, either fully hand-sewn or partially sutured combined with stapling. The surgery may be performed by open, laparoscopic, or converted approaches. This device-based observational study monitors how well the suture material handles during surgery and tracks patient outcomes after the procedure. Participants will be followed for up to one year after surgery. Researchers will assess anastomosis leakage rates within the first 30 days after surgery as the primary outcome. Secondary outcomes include complication rates at discharge, 30 days, and 1 year postoperatively; mortality rates; surgical site infections; hospital stay length; patient satisfaction; quality of life; bowel function; and hernia rates. Various clinical assessments, questionnaires, and observations will be performed to collect this data, providing a comprehensive view of patient recovery and safety over time.

CONDITIONS

Brief Title

Leakage Rate of Ileo-COlic Sutured Anastomosis After Right Hemicolectomy

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients undergoing a primary, elective open or laparoscopic right hemicolectomy or extended right hemicolectomy for malignancy with ileo-colic anastomosis
  • Complete hand-sewn or partial sutured anastomosis (including stapling and suturing)
  • Surgery may be open, laparoscopic, or conversion between methods
  • No peritoneal carcinomatosis
  • No vascular, nervous, or bone infiltration
  • Age 18 years or older
  • Written informed consent provided
Not Eligible

You will not qualify if you...

  • Left hemicolectomy, left extended hemicolectomy, or sigma resection
  • Presence of inflammatory bowel disease such as Crohn's disease
  • Emergency surgery
  • Previous abdominal surgery involving bowel resection
  • Re-operation or revision surgery of an anastomosis
  • Need for stoma creation
  • Patient non-compliance
  • Participation in another interventional randomized controlled trial

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Hospital stay until discharge

Participants undergo elective right hemicolectomy with ileo-colic anastomosis using Monoplus suture material, followed by immediate post-operative care.

Approximately 1 hospital stay period

Post-operative Follow-up

Duration - Up to 12 months postoperatively

Participants are monitored for anastomosis leakage, complications, surgical site infections, mortality, bowel function, and quality of life up to 12 months after surgery.

Visits at discharge, 30 days postoperatively, and 12 months postoperatively

Trial Site Locations

Total: 3 locations

1

Alb-Fils-Klinikum Göppingen, Dept. General Surgery

Göppingen, Baden-Wurttemberg, Germany, 73035

Actively Recruiting

2

Diakonie-Klinikum Landkreis Schwäbisch Hall, Dept. General Surgery

Schwäbisch Hall, Baden-Wurttemberg, Germany, 74523

Actively Recruiting

3

Städtisches Klinikum Lüneburg, Dept. General Surgery

Lüneburg, Lower Saxony, Germany, 21339

Actively Recruiting

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Research Team

P

Petra Baumann, Dr.

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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