Colorectal Cancer, Diverticulitis of Sigmoid
Conditions
Keywords
perfusion, colorectal anastomosis, StO2, endoscopic perfusion monitoring
Brief summary
This will be a prospective, observational study of patients undergoing laparoscopic colorectal resection with anastomosis. After anastomosis creation and at the time of routine intraoperative flexible sigmoidoscopy, 4 mucosal StO2 measurements will be taken endoscopically and 4 corresponding serosal StO2 measurements will be taken laparoscopically. Measurements will be recorded in a prospectively maintained database along with operative findings and clinical outcomes. Longitudinal data will be obtained via chart review to track longer-term outcomes.
Detailed description
This will be a prospective, observational study of sequential patients undergoing laparoscopic colorectal resection with intestinal anastomosis. After anastomosis creation and at the time of routine intraoperative flexible sigmoidoscopy, 4 mucosal StO2 measurements will be taken endoscopically using the Endoscope EC-740T/L: (1) proximal to the staple/suture line, (2) proximal edge of the staple/suture line, (3) distal edge of the staple/suture line, (4) distal to the staple/suture line. Concurrently, 4 corresponding serosal StO2 measurements will be taken laparoscopically using the Video Laparoscope EL-R740M or EL-R740M30. Measurements will be recorded in a prospectively maintained database along with operative findings and clinical outcomes. Longitudinal data will be obtained via chart review to track longer-term outcomes.
Interventions
Monitoring with Fujifilm ELUXEO device endoscopically \& laparoscopically
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients 18 years or older who can understand and provide informed consent * Patients undergoing laparoscopic colorectal resection and intestinal anastomosis
Exclusion criteria
* Patients younger than 18 years old * Patients who do not understand the study, are unable to provide consent, or refuse to provide consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anastomotic leak | 30 days |
Countries
United States
Contacts
University of Southern California