Colectomy, Colectomy Left/Right/Total Under Laparotomy, Colorectal
Conditions
Keywords
Same Day Colectomy, outpatient Colectomy
Brief summary
This is a prospective cohort study of outcomes of patients undergoing outpatient colorectal surgery at a single institution to study outpatient colectomy as a viable treatment option for a select group of patients requiring colon and rectal surgery.
Interventions
OTHERSame-Day Colectomy
study, they will undergo extensive education during their preoperative visit. Perioperative education includes management of perioperative medications, bowel prep and perioperative antibiotics. Perioperative education will include that of the patient and their designated caregiver. Perioperative nursing staff will go over postoperative discharge instructions again. A custom discharge instruction sheet will be made and given to all patients upon discharge. On days 1 and 3 postoperatively, patients will receive a phone call or virtual visit from a member of the research team. Questions will be asked of patients based on a script made. Patients will then be seen in the clinic between postoperative day 5-7. Patients' medical record will be followed for six months postoperatively to track emergency department visits, readmissions, and postoperative complications. Postoperative complications will include surgical site infection, deep surgical infection, bleeding requiring transfusion, ana
Sponsors
University of Arizona
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The purpose of this study is to show that outpatient colectomy is safe and feasible for patients that were rigorously screened preoperatively. * The primary outcome of this study is the 30-day rate of readmission to the hospital following same day colectomy. * Secondary outcomes include rate of surgical site infection, deep surgical infection, anastomotic leak, bleeding requiring transfusion, postoperative ileus, reoperation, reintervention, acute kidney injury or renal failure, reintubation or need for prolonged ventilation, mortality.
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Ages 18-70 * Undergoing robotic-assisted right colectomy, sigmoidectomy, or low anterior resection. * Able to perform greater than 4 metabolic equivalents (METS) without shortness of breath * Must have a designated adult who can care for them at home postoperatively until their in-person clinic visit * Access to a cell phone or computer and running water. * Successfully completed pre-operative and post-operative education * Medical criteria: * Well controlled hypertension with systolic blood pressure \< 140 controlled by less than two medications which they are compliant with * Well controlled diabetes on oral agents only with blood glucose level \< 180 on daily checks * Anti-platelet agents including aspirin, clopidogrel, prasugrel, ticagrelor or ticlopidine will be stopped 7 days preoperatively and restarted on postoperative day 1. See
Exclusion criteria
7 for specific
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Readmission | 30-Days post-procedure | The primary outcome of this study is the 30-day rate of readmission to the hospital following same day colectomy |
Secondary
| Measure | Time frame |
|---|---|
| rate of surgical site infection | 30-days Post Procedure |
| rate of deep surgical infection | 30-days Post Procedure |
| rate of anastomotic leak | 30-days Post-procedure |
| rate of bleeding requiring transfusion | 30-Days Post-Procedure |
| rate of postoperative ileus | 30-Days Post-Procedure |
| rate of reoperation | 30-Days Post-Procedure |
| reintervention | 30-Days Post-Procedure |
| rate of acute kidney injury or renal failure | 30-Days Post-Procedure |
| rate of reintubation or need for prolonged ventilation | 30-Days Post-Procedure |
| Rate of mortality | 30-Days Post Procedure |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATOREugene Kim, MD
University of Arizona
Outcome results
None listed