Comparing Postoperative Pain in Adults Undergoing Minimally Invasive Colon Surgery Using Robotic or Laparoscopic Techniques

What this Trial Is About

Researchers are evaluating two types of minimally invasive surgerieslaparoscopic and roboticto compare postoperative pain in adults undergoing elective colon or rectal surgery. The study focuses on patients following the hospitals enhanced recovery protocol RICA program and aims to determine which surgical approach results in less pain and better recovery outcomes. This observational study is conducted at Hospital General Universitario Gregorio Marann in Madrid, Spain, enrolling approximately 80 patients over about 2 years. Participants will undergo either laparoscopic or robotic-assisted surgery based on surgical planning and availability. Pain levels will be assessed using the Visual Analog Scale VAS at multiple points upon arrival in the recovery unit, at 24, 48, and 72 hours post-surgery, and at discharge. The study will also measure intraoperative pain response through the Nociception Level Index NOL, opioid use during and after surgery, hospital stay length, complications classified by Clavien-Dindo, readmissions, reinterventions, and quality of life up to 12 months post-surgery using validated questionnaires. Throughout the study, patient data will be collected anonymously via a secure electronic system REDCap. Participants will be monitored closely for pain, analgesic use, and complications. Quality of life will be assessed at 1, 3, 6, and 12 months after surgery. The total duration includes recruitment and follow-up over two years, with additional time for data analysis. The findings aim to guide surgical decision-making toward reducing postoperative pain and improving recovery in colorectal surgery.

Pain Evaluation Across Robotic and Laparoscopic Surgery for Colorectal Procedures