We will include patients with colon cancer receiving endoscopic resection of tumor
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - All patients approved by the anesthesiologist for elective endoscopic colon surgery for cancer. - > 18 year with written informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 100 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 200
Exclusion criteria
Exclusion criteria: - neoadjuvant chemo and/or radiotherapy - Perioperatieve conversion to an open surgical approach - Insufficient pain relief in the intervention group (Visual Analogue Scale (VAS) = 4) - Absolute contra-indications for the use of any of the listed medications or procedures (epidural) in the intervention group - Synchronous metastasis (stage IV/ M1 patients) - Patients who are mentally disabled or incapable to give informed consent - Patients on chronic opioid therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To compare the immunological response between two different anesthesia strategies ;Secondary Objective: 1. Cancer free survival (follow up to 5 years postoperative) 2. Minor and major postoperative complications 3. Postoperative VAS (Visual Analogue Scale) score 4. Hospital stay 5. Anesthetic variables ;Primary end point(s): Immunological markers;Timepoint(s) of evaluation of this end point: After inclusion of last patient | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Cancer free survival (follow up to 5 years postoperative) 2. Minor and major postoperative complications 3. Postoperative VAS (Visual Analogue Scale) score 4. Hospital stay 5. Anesthetic variables such as:blood pressure, heart rate, respiratory rate, carbon dioxide concentration, saturation, and BIS values will be documented prior before anesthesia and every 10 minutes thereafter. Data will be collected prospectively ;Timepoint(s) of evaluation of this end point: secondary endpoint 1 , 5 years after inclusion of last patient. Other secondary markers after inclusion of last patient. | — |
Countries
Netherlands
Contacts
UMCG