Elective minimally invasive colorectal surgery for CRC
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - All patients scheduled for elective minimally invasive (laparoscopic or robot-assisted) colorectal surgery for CRC - no intended multivisceral resection (exceptions are small atypical liver wedge resections, biopsies, abdominal wall resection, partial prostate/bladder resection, adnexectomy, cholecystectomy) - preoperatively mobile patients (e.g., not wheelchair bound) - no contraindication for wearing activity tracker devices
Exclusion criteria
Exclusion criteria: - primary open surgical technique
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composed of two hierarchical endpoints: 1. postoperative duration to 5 predefined DCs - GI-2 (a validated composite measure of GI recovery defined as the interval from surgery until first passage of stool and tolerance of solid intake for 24h in the absence of vomiting) - ambulation independently or at the preoperative level - no intravenous fluids or pain medication - no fever and a serum C-reactive protein concentration <80 mg/l) 2. Number of steps during postoperative Days 1-5, as recorded using activity tracking wristbands. | — |
Secondary
| Measure | Time frame |
|---|---|
| - length of hospital stay - 30-day mortality, and 30-day overall morbidity according to the Clavien-Dindo classification - number of steps on POD 1-5 - highest mobility level measured by the CHARMI®-Index (Liebl et al. PLOS ONE 2016) - biodiversity data from the activity tracker (calorie consumption, sleep phases, oxygen saturation, heart rate on POD 1-5 and correlation with complications such as an increase in infection levels [white blood count, C-reactive protein]) will be analysed. - Lebensqualitätserhebung (EQ-5D-3L) | — |
Countries
Germany
Contacts
Klinik für Allgemein-, Viszeral- und Thoraxchirurgie