Study of Leakage Rates Using Monoplus Suture Material After Laparoscopic or Open Right Hemicolectomy for Colon Cancer

What this Trial Is About

This research aims to evaluate the leakage rate of ileo-colic anastomosis within the first 30 days after surgery in patients undergoing right hemicolectomy for colon cancer. Specifically, it compares the leakage rate using MonoPlus suture material to rates reported in literature for handsewn or stapled-handsewn anastomosis. The study focuses on patients treated with elective colectomy and local curative intent where primary anastomosis is performed without protective stoma. Anastomosis leakage is a key concern as it can cause significant complications post-surgery. Participants will undergo either open or laparoscopic right hemicolectomy or extended right hemicolectomy, followed by ileo-colic anastomosis construction using MonoPlus suture material. The anastomosis may be completely hand-sewn or partially sutured combined with stapling. The study observes surgical approaches including conversions between open and laparoscopic surgery. The main focus is on assessing the leakage rate and other surgical outcomes related to this suture material. During the study, patients will be monitored for anastomosis leakage up to 30 days after surgery. Additional evaluations include complication rates at discharge, 30 days, and one year postoperatively, mortality rates, surgical site infections, length of hospital stay, handling of the suture material during surgery, patient satisfaction, quality of life assessments, bowel function, and hernia occurrence up to 12 months. Participants will provide informed consent and data protection agreements before enrollment, and their health and recovery will be closely followed throughout the observation period.

Leakage Rate of Ileo-COlic Sutured Anastomosis After Right Hemicolectomy