Colon Cancer, Rectal Cancer
Conditions
Keywords
mechanical bowel preparation, Colon Cancer
Brief summary
This is a Randomized trial on Mechanical Bowel Preparation in Laparoscopic Colorectal Surgery. In this trial patients with left sided colon and rectal tumors were randomized to receive mechanical bowel preparation or no preparation to assess postoperative complications and outcome
Detailed description
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.
Interventions
mechanical bowel preparation with polyethylene glycol one day prior to surgery
No laxatives or bowel preparation
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anastomotic leak | 30 days | clinical/drain/radiological leak |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative parameters assessment | 1 day | intraoperative assessment of tumor site, extend, operative time, intraoperative contamination |
| bowel recovery | 30 days | Day of passage of flatus or faeces |
| drain removal | 30 days | postoperative day of drain removal |
| surgical site infection | 14 days | superficial and deep surgical site infection |
| Hospital stay | 30 days | postoperative hospital stay |
| Readmission | 30days | admission to hospital after discharge due to any reasons |
| Re-exploration | 30 days | Any intervention radiological or surgical due to procedure related complications |
Countries
India