Actively Recruiting

Phase Not Applicable
Age: 18Years - 70Years
All Genders
ID07176715

Same-Day Colectomy: is it Safe for Patients?

Led by University of Arizona · Updated on 2025-09-16

150

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating outcomes for patients undergoing outpatient colorectal surgery to determine if same-day colectomy can be a safe and effective treatment option for selected patients needing colon and rectal surgery. This prospective cohort study is conducted at a single institution and aims to assess the benefits and risks of outpatient colectomy. Participants will undergo robotic-assisted right colectomy, sigmoidectomy, or low anterior resection. Before surgery, patients and their designated caregivers receive thorough education on medication management, bowel preparation, and perioperative antibiotics. After surgery, patients receive follow-up phone calls or virtual visits on days 1 and 3, and an in-person clinic visit between days 5 and 7. Their medical records will be monitored for six months to track emergency visits, readmissions, and complications. During the study, patients will be closely monitored for various outcomes including hospital readmission within 30 days, surgical site infections, bleeding requiring transfusion, postoperative ileus, reoperations, and other complications. The study includes ongoing assessments through follow-up calls, clinic visits, and medical record reviews to evaluate safety and recovery after same-day colectomy.

CONDITIONS

Brief Title

Same-Day Colectomy: is it Safe for Patients?

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Ages 18-70
  • Undergoing robotic-assisted right colectomy, sigmoidectomy, or low anterior resection
  • Able to perform greater than 4 metabolic equivalents (METS) without shortness of breath
  • Must have a designated adult who can care for them at home postoperatively until their in-person clinic visit
  • Access to a cell phone or computer and running water
  • Successfully completed pre-operative and post-operative education
  • Well controlled hypertension with systolic blood pressure < 140 controlled by less than two medications which they are compliant with
  • Well controlled diabetes on oral agents only with blood glucose level < 180 on daily checks
  • Anti-platelet agents including aspirin, clopidogrel, prasugrel, ticagrelor or ticlopidine will be stopped 7 days preoperatively and restarted on postoperative day 1
Not Eligible

You will not qualify if you...

  • Neurocognitive deficits not allowing for adequate preoperative education
  • Congestive heart failure with EF < 45%
  • Symptomatic aortic stenosis causing heart failure, syncope, dyspnea or angina
  • Pulmonary fibrosis or pulmonary hypertension
  • COPD or home oxygen use > 2L
  • Chronic kidney disease of any stage
  • Lack of a caregiver at home or functionally bed-bound
  • Ultralow pelvic resection
  • Need for ostomy creation intraoperatively
  • Operative time greater than 5 hours
  • Conversion to open procedure intraoperatively
  • Patients receiving antiplatelet agents such as clopidogrel, prasugrel, ticagrelor or ticlopidine within one year of coronary or carotid stent implantation, TAVR or LAAO placement
  • Patients on therapeutic anticoagulation medications such as warfarin, Eliquis, Xarelto, Enoxaparin
  • Current tobacco use
  • Patients who were unable to complete preoperative education, do not feel comfortable with care at home, or do not have an available caregiver for the first 7 postoperative days
  • Any surgical history that would preclude safe abdominal entry for robotic surgery

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)

Treatment

Duration - Day of surgery

Participants undergo same-day colectomy surgery with preoperative education and perioperative care including medication management and bowel preparation.

1 surgical visit (in-person)

Post-operative Follow-up

Duration - 6 months postoperatively

Participants receive postoperative care including phone or virtual visits on days 1 and 3, and an in-clinic visit between postoperative days 5 and 7. Their medical records are followed for six months to monitor for complications, readmissions, and emergency department visits.

2 remote visits (phone or virtual) and 1 in-person clinic visit

Trial Site Locations

Total: 1 location

1

Banner University Medical Center Phoenix

Phoenix, Arizona, United States, 85006

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

North American multicentre evaluation of a same-day discharge protocol for minimally invasive colorectal surgery using mHealth or telephone remote post-discharge monitoring.

Lawrence Lee, Jules Eustache, Marie Tran-McCaslin...

https://pubmed.ncbi.nlm.nih.gov/35419638

Ambulatory colectomy: A pilot protocol for same day discharge in minimally invasive colorectal surgery.

Karleigh R Curfman, Ashwini S Poola, Gabrielle E Blair...

https://pubmed.ncbi.nlm.nih.gov/35570059

Reduced length of hospital stay in colorectal surgery after implementation of an enhanced recovery protocol.

Timothy E Miller, Julie K Thacker, William D White...

https://pubmed.ncbi.nlm.nih.gov/24781574