This RCT aims at assessing the effects of a pelvic drain after total mesorectal excision for mid-low rectal cancer on the rates of pelvic sepsis and anastomotic leaks.
This is a 2-arm, non-inferiority RCT. Patients undergoing total mesorectal excision for mid-low rectal cancer will be randomly assigned into two groups: * pelvic drain * no pelvic drain. Patients will be followed-up to assess the rates of anastomotic leaks, pelvic sepsis and secondary outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
518
A pelvic drain is placed
A pelvic drain is not placed
Hospital General Universitario Vall d´Hebron
Barcelona, Barcelona, Spain, Spain
RECRUITINGNumber of participants with pelvic sepsis
anastomotic leak or pelvic collections clinically or radiologically detected
Time frame: 0-30 days postoperatively
Management of pelvic sepsis
Type of management (medical, rediological, surgical)
Time frame: 0-30 days postoperatively
Postoperative complications
Overall postoperative complications
Time frame: 0-30 days postoperatively
CT scan or imaging needed
Necessity of performing unscheduled imaging tests
Time frame: 0-30 days postoperatively
Number of participants with postoperative ileus
Postoperative ileus
Time frame: 0-30 days postoperatively
Diagnostic delay for a leak
Days between surgery and leak detection
Time frame: 0-30 days postoperatively
Length of postperative stay
Days of stay after surgery
Time frame: 0-30 days postoperatively or until discharge
Time to flatus and bowel movement
Days between surgery and flatus/faeces
Time frame: 0-30 days postoperatively
Stoma presence at 1-year follow-up
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Necessity of maintaining the diverting ileostomy at 1-year follow-up
Time frame: 12 months after surgery
Late pelvic collections
Presence of pelvic collections detected at longer follow-up intervals
Time frame: up to 60 days after surgery
Small bowel obstruction
Mechanical small bowel obstruction
Time frame: up to 60 days after surgery
Quality of life associated with a drain
Visual Analogue Scale 0-10 (higher score means better outcome) score of postoperative pain and wound complaints
Time frame: 30 days postoperatively
Any complications associated with drain removal after surgery
Safety of drain removal after surgery
Time frame: up to 60 days after surgery