Ischemia-Reperfusion Injury, Laparoscopy, Laparotomy, Oxygenation,
Conditions
Keywords
LAPAROSCOPY,, LAPAROTOMY,, OXYGENATION,, ISCHEMIA-REPERFUSION INJURY
Brief summary
Patients with left-colon cancer will be randomized to laparoscopic or laparotomic operation. during surgery and for 6 days after operation, intestinal oxygen tension and ischemia-reperfusion injury markers will be evaluated to understand if pneumoperitoneum is associated with reduced splanchnic blood flow and ischemia-reperfusion injury.
Interventions
Laparoscopic Left-Colectomy
PatientS will be operated by laparotomy
Sponsors
Study design
Eligibility
Inclusion criteria
* Proven Cleft Colon Cancer, Signed Informed Consent
Exclusion criteria
* Emergency surgery, * Cancer infiltrating adjacent organ (at CT scan), * Severe cardiovascular (New York Heart Association class \> 3 ), * Respiratory (arterial PO2 \< 70 mmHg), * Renal (plasma creatinine \> 3 MG/dL) or hepatic (Child C) dysfunction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intestinal oxygenation | 7 DAYS |
Secondary
| Measure | Time frame |
|---|---|
| Ischemic reperfusion injury | 7 DAYS |
Countries
Italy