C15.5 C16.0
Conditions
Interventions
Group 1: All patients to whom an open right hemicolectomy is indicated.
In the study, the circulation of the terminal ileum is checked (last part of the small intestine) - after deduction of A. and V.
Sponsors
Chefarzt der Klinik für Allgemein-, Viszeral-, Thorax- und endocrine Chirurgie
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients to whom an open right hemicolectomy has been indexed. Since the pattern preparation and preparation steps are the same in an open right hemicolectomy and esophagus reconstruction, the measurements are performed in patients in which an open right hemicolectomy has been indexed. (Preparation steps up to the point of deposition of the right colic artery the same for both operations).
Exclusion criteria
Exclusion criteria: age 35 • Severe systemic diseases that are expected to impaired tissue perfusion and anastomotic healing such as decompensated right heart failure, high-dose immunosuppression etc. • Patient is not willing to participate in the study • Pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Using the fluorescence measurement with VITOM (R) Device of the company Karl Storz, we will measure the perfusion in 20 patients in whom an oncology hemicolectomy is required due to colon cancer or a suspected colon cancer right after full mobilization of the right hemicolon and central ligature of the artery and vein ileocolica and transversum in the presence also of the right colic artery and severing of the terminal ileum and the associated small intestine mesentery and transection of the intestine tube of the colon prior to severing of the colon mesentery a perfusion of the small intestine ends and colon ends on each of the two sides of the severed bowel made. The tumor-bearing part of bowel that will be resected is defined hereinafter in this study as a "model graft". Since we in principle renounce setting bowel terminals in the intestinal surgery, as not to affect the intestinal wall structure to anastomosing intestines, no change in the routine operation to answer the study question is necessary at this point. The intraoperative and perioperative course of patients is documented. The perfusion of small intestine in the time of measurement on both sides after transection and anastomosis heals whether the downright after resection will be documented. To reduce the influence factors of each trial operations of a maximum of two different responsible operators (notified operators of the cancer center: BG, JL) will be assisted or even performed. Carried out to assess the sufficiency of an intestinal anastomosis blood flow to the bowel ends of the "Model transplant" and the respective corresponding remaining intestine ends • a perfusion with VITOM (R) Device of the company Karl Storz, • an assessment by the responsible surgeon immediately before perfusion intraoperatively, • an assessment by a non-participating in Operation Specialist for visceral surgery immediately before perfusion intraoperatively • an assessment of immediately before perfusion intraoperatively | — |
Secondary
| Measure | Time frame |
|---|---|
| B) In addition to questions 2. How often does the perfusion of small intestine side of the "Model transplant" is worse than that of the later anastomosed small intestine in the fluorescence method? 3. the perfusion of the colon side of the "Model transplant" How often is worse than that of the later anastomosed colon in fluorescence method? 4. How often does the perfusion of small intestine side of the "Model transplant" is worse than that of the later anastomosed small intestine in the judgment of the responsible surgeon? 5. How often is the perfusion of the colon side of the "Model transplant" worse than that of the later anastomosed colon in the judgment of the responsible surgeon? 6. How often is the perfusion of small intestine side of the "Model transplant" worse than that of the later anastomosed small intestine in the judgment of the independent visceral surgeons? 7. How often is the perfusion of the colon side of the "Model transplant" worse than that of the later anastomosed colon in the judgment of the independent visceral surgeons? 8. How often is the perfusion of small intestine side of the "Model graft" worse than the later anastomosed small intestine in the assessment on the basis of intraoperative photographic documentation by two independent visceral surgeons? 9. How often is the perfusion of the colon side of the "Model transplant" worse than that of the later anastomosed colon based intraoperative photographic documentation by two independent visceral surgeons? 10. How often heals the anastomosis downright among patients in whom the perfusion of each corresponding intestinal ends with reference to the fluorescence method, was evaluated intraoperatively by the surgeon and the independent visceral surgeons and by the independent visceral surgeons on the basis of photographic documentation. | — |
Countries
Germany
Contacts
Public ContactBerthold Gerdes
Chefarzt der Klinik für Allgemein-, Viszeral-, Thorax und Endokrine ChirurgieJWK Klinikum Minden
Outcome results
None listed