Safety of Same-Day Colectomy for Adults Aged 18 to 70 Undergoing Robotic-Assisted Colon Surgery

What this Trial Is About

Researchers are evaluating the outcomes of patients undergoing outpatient colorectal surgery to determine if same-day colectomy is a safe and viable option for certain individuals requiring colon and rectal surgery. This prospective cohort study focuses on patients aged 18 to 70 undergoing specific types of robotic-assisted colectomy procedures at a single institution. The study aims to assess hospital readmission rates within 30 days post-procedure as the primary outcome. Participants will receive extensive education before surgery, including instructions on medication management, bowel preparation, and antibiotics. Caregivers are also included in this education. After surgery, patients receive a custom discharge instruction sheet and follow-up support via phone or virtual visits on postoperative days 1 and 3. An in-person clinic visit occurs between days 5 and 7. Medical records are monitored for six months to track emergency visits, readmissions, and various postoperative complications. Throughout the study, researchers will assess several outcomes such as surgical site infections, bleeding requiring transfusions, anastomotic leaks, postoperative ileus, reoperations, and mortality within 30 days after surgery. Monitoring includes tracking acute kidney injury, respiratory support needs, and reinterventions. Participants are expected to have access to communication devices and a caregiver at home. This involvement helps ensure safety and gather comprehensive data on recovery and complications.

Same-Day Colectomy: is it Safe for Patients?