Effects of Open and Laparoscopic Gastrointestinal Surgery on Gastrointestinal Function
Atslēgvārdi
Abstrakts
Apraksts
All patients aged ≥18 years scheduled to undergo gastric and colorectal cancer resection surgery at the Department of Gastrointestinal Surgery, West China Hospital between 2019 to 2020 will be screened for eligibility. The inclusion criteria for the study will be the patient undergoing elective gastric cancer surgery, have the American Society of Anesthesiologist (ASA) grade ≤ III, alert consciousness, and BMI, and accurate preoperative diagnosis of gastric adenocarcinoma on the basis of computed tomography CT scan report, Gastroscopy and Histopathological reports. Exclusion criteria will be those who cannot participate in study assessments owing to the language barrier, dementia or postoperative delirium; previously received palliative surgery, develops early postoperative bowel obstruction, Anastomotic leakage or Gastroparesis, those requiring reoperation for any other indication before the commencement of formal assessment for PPOI. Those requiring more than 30 minutes of adhesiolysis. Each patient will be approached during preoperative counseling on an individual basis by one of the authors (YZ)
Datumi
| Pēdējoreiz pārbaudīts: | 04/30/2020 |
| Pirmais iesniegtais: | 03/20/2019 |
| Paredzētā reģistrācija iesniegta: | 03/20/2019 |
| Pirmais izlikts: | 03/24/2019 |
| Pēdējais atjauninājums iesniegts: | 05/22/2020 |
| Pēdējā atjaunināšana ievietota: | 05/26/2020 |
| Faktiskais studiju sākuma datums: | 07/31/2018 |
| Paredzamais primārās pabeigšanas datums: | 12/14/2019 |
| Paredzamais pētījuma pabeigšanas datums: | 12/30/2019 |
Stāvoklis vai slimība
Iejaukšanās / ārstēšana
Procedure: Surgery
Fāze
Roku grupas
| Roka | Iejaukšanās / ārstēšana |
|---|---|
| Open gastrointestinal surgery All patients enrolled in this group would undergo open gastric and colorectal resection surgery. | |
| Laparoscopic gastrointestinal surgery All patients enrolled in this group would undergo laparoscopic gastric and colorectal resection surgery. |
Atbilstības kritēriji
| Vecums, kas piemērots studijām | 18 Years Uz 18 Years |
| Dzimumi, kas ir piemēroti studijām | All |
| Paraugu ņemšanas metode | Non-Probability Sample |
| Pieņem veselīgus brīvprātīgos | Jā |
| Kritēriji | Inclusion Criteria: - Patients aged ≥18 years scheduled to undergo elective abdominal surgery - American Society of Anesthesiologist (ASA) grade ≤ III - Alert consciousness - Any BMI - Accurate preoperative diagnosis on the basis of necessary reports Exclusion Criteria: - Cannot participate in study assessments owing to the language barrier, dementia or postoperative delirium - Previously received palliative surgery - Develops early postoperative bowel obstruction, Anastomotic leakage or Gastroparesis - Those requiring reoperation for any other indication before the commencement of formal assessment for POI - Those requiring more than 30 minutes of adhesiolysis - Emergency cases - American Society Anesthesia (ASA) class IV or V patients, pregnancy, patient with abdominal carcinomatosis or radiation enteritis, inoperable cases due to metastasis, patients simultaneously enrolled in any other competing for clinical study and violation of study protocol by the patient or patient care team |
Rezultāts
Primārie rezultāti
1. Time to first flatus [up to 1-4 Days after surgery]
2. Length of hospital stay [up to 1-10 Days after surgery]
Sekundārie iznākuma mērījumi
1. Time to first bowel movement [up to 1-6 Days after surgery]
2. Time to first oral intake [up to 1-6 Days after surgery]
3. Time to first defecation [up to 1-6 Days after surgery]
4. Time to first ambulation [up to 1-6 Days after surgery]
