Trial on Mechanical Bowel Preparation in Laparoscopic Colorectal Surgery (MBP)
A Randomised Controlled Trial On Mechanical Bowel Preparation Versus No Mechanical Bowel Preparation In Elective Laparoscopic Surgery For Left Sided Colonic Tumours
研究概览
详细说明
In this prospective randomized trial,patients were randomized to receive mechanical bowel preparation or no preparation to assess postoperative complications and outcome following elective laparoscopic surgery for left sided colon and rectal tumors. Randomization is done from the out -patient department at the time of admission, using random numbers from a computer generated list from a sealed envelope method.
Patients who did not have mechanical bowel preparation had a normal meal on the day before the operation. Those who did were given a fluid diet, and mechanical bowel preparation with polyethylene glycol one day prior to surgery.
Both groups will have the scheduled laparoscopic colonic resections. Use of diverting stoma is left to the discretion of the operating surgeon. Cases that needed a diverting stoma, will be analyzed separately.
研究类型
注册 (预期的)
联系人和位置
学习地点
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Kerala
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Kochi、Kerala、印度、682017
- 招聘中
- PVS Memorial Hospital
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接触:
- Prakash Kurumboor, MS, MCh
- 电话号码:09447302588
- 邮箱:drkprakash@vsnl.com
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副研究员:
- Pramil K, MS
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- left sided colonic and rectal tumors
- eligible for elective laparoscopic surgery
Exclusion Criteria:
- Patients with intestinal obstruction or perforation.
- patients with T4b tumors.
- metastatic tumors
- patients with multiple previous abdominal surgeries
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
|
Mechanical bowel preperation
mechanical bowel preparation with polyethylene glycol one day prior to surgery
|
mechanical bowel preparation with polyethylene glycol one day prior to surgery
No laxatives or bowel preparation
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
anastomotic leak
大体时间:30 days
|
clinical/drain/radiological leak
|
30 days
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
surgical site infection
大体时间:14 days
|
superficial and deep surgical site infection
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14 days
|
|
Intraoperative parameters assessment
大体时间:1 day
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intraoperative assessment of tumor site, extend, operative time, intraoperative contamination
|
1 day
|
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bowel recovery
大体时间:30 days
|
Day of passage of flatus or faeces
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30 days
|
|
drain removal
大体时间:30 days
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postoperative day of drain removal
|
30 days
|
|
Re-exploration
大体时间:30 days
|
Any intervention radiological or surgical due to procedure related complications
|
30 days
|
|
Hospital stay
大体时间:30 days
|
postoperative hospital stay
|
30 days
|
|
Readmission
大体时间:30days
|
admission to hospital after discharge due to any reasons
|
30days
|
合作者和调查者
出版物和有用的链接
一般刊物
- Guenaga KF, Matos D, Wille-Jorgensen P. Mechanical bowel preparation for elective colorectal surgery. Cochrane Database Syst Rev. 2011 Sep 7;2011(9):CD001544. doi: 10.1002/14651858.CD001544.pub4.
- Contant CM, Hop WC, van't Sant HP, Oostvogel HJ, Smeets HJ, Stassen LP, Neijenhuis PA, Idenburg FJ, Dijkhuis CM, Heres P, van Tets WF, Gerritsen JJ, Weidema WF. Mechanical bowel preparation for elective colorectal surgery: a multicentre randomised trial. Lancet. 2007 Dec 22;370(9605):2112-7. doi: 10.1016/S0140-6736(07)61905-9. Erratum In: Lancet. 2008 May 17;371(9625):1664.
- Bucher P, Gervaz P, Soravia C, Mermillod B, Erne M, Morel P. Randomized clinical trial of mechanical bowel preparation versus no preparation before elective left-sided colorectal surgery. Br J Surg. 2005 Apr;92(4):409-14. doi: 10.1002/bjs.4900. Erratum In: Br J Surg. 2005 Aug;92(8):1051.
- van't Sant HP, Weidema WF, Hop WC, Lange JF, Contant CM. Evaluation of morbidity and mortality after anastomotic leakage following elective colorectal surgery in patients treated with or without mechanical bowel preparation. Am J Surg. 2011 Sep;202(3):321-4. doi: 10.1016/j.amjsurg.2010.10.018.
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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