This study is aimed to evaluate the safety of applying enhanced recovery after surgery for colorectal cancer.
In China, Europe and America, colorectal cancer is one of common malignant tumors. It is very important for treatment of colorectal cancer to enhance the quality of treatment, increase patients' survival rate and improve the life quality. So far, surgical resection is optimal treatment for patients with colorectal cancer. As a result, increasing the quality of surgery and improving the perioperative managements have a great influence on patients received a coloproctectomy. Investigators have spent over ten years studying enhanced recovery after surgery programs for colorectal cancer and have got some successful experience. Investigators found enhanced recovery after surgery can accelerate patients' recovery without increasing complications. This study is the first multi-center study of enhanced recovery after surgery for colorectal cancer in China. During this period, the study is aimed to evaluate the safety of applying enhanced recovery after surgery for colorectal cancer.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
1,000
Patients will undergo enhanced recovery after surgery programs.
occurrence rate of severe complications
including death, anastomotic fistula, intra-abdominal hemorrhage, hemorrhage of digestive tract and complications need a reoperation
Time frame: 1 month
Occurrence rate of ordinary complications
Except severe complications, Clavien-Dindo classification ≥Ⅱ complications need not reoperation
Time frame: 1 month
Readmission rate within 30 days after discharge
Readmission rate within 30 days after discharge
Time frame: 1 month
Ideal postoperative length of hospital stay
reach discharge criteria
Time frame: 1 month
Actual postoperative length of hospital stay
Actual postoperative length of hospital stay
Time frame: 1 month
Operative time
duration of operation
Time frame: 1 day
Blood loss
Blood loss
Time frame: 1 day
Intraoperative infusion
Intraoperative infusion
Time frame: 1 day
TNM classification
classification of tumor
Time frame: 1 week
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The First People's Hospital of Changzhou
Changzhou, Jiangsu, China
RECRUITINGChangzhou Second People's Hospital Affiliated to Nanjing Medical University
Changzhou, Jiangsu, China
RECRUITINGThe First People's Hospital of Lianyungang City
Lianyungang, Jiangsu, China
RECRUITINGThe Second People's Hospital of Lianyungang City
Lianyungang, Jiangsu, China
RECRUITINGNanjing First Hospital
Nanjing, Jiangsu, China
RECRUITINGJinling Hospital, Medical School of Nanjing University
Nanjing, Jiangsu, China
RECRUITINGZhongda Hospital, Southeast University
Nanjing, Jiangsu, China
RECRUITINGThe Second Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, China
RECRUITINGThe First Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, China
RECRUITINGSuqian People's Hospital, Nanjing Drum Tower Hospital
Suqian, Jiangsu, China
RECRUITING...and 13 more locations
Number of dissected lymph node
Number of dissected lymph node
Time frame: 1 week
Time to first flatus
Bowel function recovery
Time frame: 2 week
Time to first defecation
Bowel function recovery
Time frame: 2 week
Time to first semi-liquid diet
Bowel function recovery
Time frame: 2 week
Time to first off-bed activity
Postoperative activity
Time frame: 1 week
Time of off-bed activity per day
Postoperative activity
Time frame: 1 week
Distance of off-bed activity per day
Postoperative activity
Time frame: 1 week
Postoperative pain
VAS classification
Time frame: 1 week
Hospital cost
Hospital cost
Time frame: 1 month
Management of catheters
including nasogastric tube, catheter, intraperitoneal drain, infusion tube
Time frame: 1 month
Preoperative length of hospital stay
Preoperative length of hospital stay
Time frame: 1 month
CD3+
Immune indicators
Time frame: 1 week
CD4+
Immune indicators
Time frame: 1 week
CD4+/CD8+
Immune indicators
Time frame: 1 week
IL-6
Inflammatory indicators
Time frame: 1 week
CRP
Inflammatory indicators
Time frame: 1 week
Albumin
Nutritional indicators
Time frame: 1 week
Prealbumin
Nutritional indicators
Time frame: 1 week
Transferrin
Nutritional indicators
Time frame: 1 week
Hb
Nutritional indicators
Time frame: 1 week
WBC
Nutritional indicators
Time frame: 1 week
PLT
Nutritional indicators
Time frame: 1 week
HCT
Nutritional indicators
Time frame: 1 week
Blood glucose
Nutritional indicators
Time frame: 1 week
Procalcitonin
Infectious indicator
Time frame: 1 week