Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID04576533

Effects of Walking Out From Operating Room on Postoperative Recovery of Patients Undergoing Laparoscopic Colorectal Surgery

Led by Sixth Affiliated Hospital, Sun Yat-sen University · Updated on 2024-07-08

300

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to assess the effects of walking out from the operating room (WOFOR), a very early mobilization strategy, on recovery after laparoscopic colorectal surgery. Early movement after surgery is thought to reduce complications like blood clots and intestinal adhesions, but its direct benefits need confirmation through randomized control trials. The study involves patients aged 18 to 65 undergoing laparoscopic colectomy or rectectomy, focusing on how walking immediately after surgery impacts recovery. Participants will be randomly assigned to one of two groups before surgery: one group will return to the ward by walking under medical supervision if they meet criteria like stable vital signs, no pain, clear consciousness, and normal leg muscle strength. The control group will return lying on a transporting bed. After surgery, patients are monitored every ten minutes to see if they meet mobilization criteria. Those in the walking group will first sit, then stand, and finally walk a short distance before returning to the ward. Both groups receive the same postoperative care, including diet guidance, nutrition, and mobilization tracking. During the study, researchers will record outcomes such as length of hospital stay, recovery time, readmission rates, quality of recovery scores, anxiety levels, nausea, bowel function, drainage volume, and complications within 30 days. These assessments occur at various times up to about eight days after surgery and 30 days post-operation. The study uses detailed statistical analysis methods to evaluate the effects of walking out from the operating room on postoperative recovery.

CONDITIONS

Brief Title

Patients Undergoing Laparoscopic Colorectal Surgery Walk Out From Operating Room After Surgery ( WOFOR-C1 )

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 to 65 years old
  • Scheduled for laparoscopic colectomy or laparoscopic rectectomy (Dixon technique)
  • American Society of Anesthesiology (ASA) grade I or II
Not Eligible

You will not qualify if you...

  • Severe cardiac diseases such as advanced heart failure, arrhythmias, or recent acute coronary syndrome
  • Respiratory failure, hepatic failure, or renal failure
  • Poor blood glucose control (HbA1c over 7%)
  • Poor blood pressure control despite treatment (systolic >150 mmHg and/or diastolic >90 mmHg)
  • Schizophrenia, epilepsy, Parkinson's disease, mental retardation, or hearing impairment
  • Thrombosis in lower extremities or other veins
  • Neuromuscular disorders affecting lower limb activity like myasthenia gravis or cerebral infarction
  • Contraindications for epidural puncture
  • Refusal to sign informed consent for research

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 - Day of surgery

Participants undergo laparoscopic colorectal surgery followed by evaluation for early mobilization based on stable physiological parameters, consciousness, orientation, muscle strength, and painlessness.

1 visit (in-person)

Post-operative Follow-up

Duration - Up to 8 days after surgery

Participants receive guidance for drink and diet recovery, mobilization in the ward with daily recording of walking duration and distance, nutrition supplementation, and criteria for drainage removal and hospital discharge.

Daily visits during hospital stay

Follow-up Monitoring

Duration - 30 days after surgery

Participants are monitored for surgical complications and cardiovascular events, and re-admission within 30 days after surgery.

Follow-up visits or contacts as needed within 30 days

Trial Site Locations

Total: 1 location

1

the Sixth Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China, 510655

Actively Recruiting

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Research Team

S

SanQing Jin, MD

Y

Yang Zhao, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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