Right-sided colonic cancer is treated with right-sided colectomy, predominantly performed as minimally invasive surgery with extracorporeal anastomosis (ECA). In recent years a new technique with intracorporeal anastomosis (ICA) has emerged and it is thought that ICA is less invasive and thereby has the potential to improve the postoperative course of right colonic cancer patients. The objective of this study is to compare robotic right colectomy with either ICA or ECA in a randomized controlled setting.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
100
Use of intracorporeal anastomosis technique
Use of the conventional extracorporeal anastomosis technique
Herlev Hospital
Herlev, Copenhagen, Denmark
Sealand University Hospital
Roskilde, Denmark
Postoperative recovery
Questionnaire of Recovery 15 (QoR-15)
Time frame: 1 month
Time fo first flatus
Time frame: 1 month
Time to first bowel movement
Time frame: 1 month
Length of hospital stay
Time frame: 1 month
Morbidity
Time frame: 1 month
Mortality
Time frame: 1 month
Postoperative pain
Time frame: 1 month
Heart Rate Variability
Continuously ECG-monitoring intraoperatively and postoperatively
Time frame: 2 days
"Timed up and go"-test
Time frame: 2 days
Ortostatic hypotension test
Time frame: 2 days
Spirometry and PEF - test
Postoperative pulmonary function
Time frame: 2 days
Postoperative opioid usage
Time frame: 1 month
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Whole blood gene expression profiling
Measuring changes in expression of ROS and immulogical genes due to surgery.
Time frame: 1 month