RECRUITING

Same-Day Colectomy: is it Safe for Patients?

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Conditions

ColorectalColectomyColectomy Left/Right/Total Under LaparotomySame Day Colectomyoutpatient Colectomy

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

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.

Official Title

Same-Day Colectomy: is it Safe for Patients?

Quick Facts

Study Start:2025-09-15
Study Completion:2030-09-01
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT07176715

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years to 70 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Ages 18-70
  2. * Undergoing robotic-assisted right colectomy, sigmoidectomy, or low anterior resection.
  3. * Able to perform greater than 4 metabolic equivalents (METS) without shortness of breath
  4. * Must have a designated adult who can care for them at home postoperatively until their in-person clinic visit
  5. * Access to a cell phone or computer and running water.
  6. * Successfully completed pre-operative and post-operative education
  7. * Medical criteria:
  8. * Well controlled hypertension with systolic blood pressure \< 140 controlled by less than two medications which they are compliant with
  9. * Well controlled diabetes on oral agents only with blood glucose level \< 180 on daily checks
  10. * 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 exclusion criteria regarding antiplatelet agents.
  1. * Medical criteria:
  2. * Neurocognitive deficits not allowing for adequate preoperative education
  3. * Congestive heart failure with EF \< 45%
  4. * Symptomatic aortic stenosis causing heart failure, syncope, dyspnea or angina
  5. * Pulmonary fibrosis or pulmonary hypertension
  6. * COPD or home oxygen use \> 2L
  7. * Chronic kidney disease of any stage.
  8. * Lack of a caregiver at home or functionally bed-bound
  9. * Ultralow pelvic resection
  10. * Need for ostomy creation intraoperatively
  11. * Operative time greater than 5 hours as this likely indicates a complex case and dissection necessitating closer monitoring in the hospital
  12. * Conversion to open procedure intraoperatively
  13. * Patients receiving antiplatelet agents such as clopidogrel, prasugrel, ticagrelor or ticlopidine within one year of coronary or carotid stent implantation, TAVR or LAAO placement.
  14. * Patients on therapeutic anticoagulation medications such as warfarin, Eliquis, Xarelto, Enoxaparin
  15. * Current tobacco use
  16. * Patients who were unable to complete preoperative education, do not feel comfortable with care at home, or do not have an available caregiver for the first 7 postoperative days
  17. * Any surgical history that would preclude safe abdominal entry for robotic surgery

Contacts and Locations

Principal Investigator

Eugene Kim, MD
PRINCIPAL_INVESTIGATOR
University of Arizona

Study Locations (Sites)

Banner University Medical Center Phoenix
Phoenix, Arizona, 85006
United States

Collaborators and Investigators

Sponsor: University of Arizona

  • Eugene Kim, MD, PRINCIPAL_INVESTIGATOR, University of Arizona

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-09-15
Study Completion Date2030-09-01

Study Record Updates

Study Start Date2025-09-15
Study Completion Date2030-09-01

Terms related to this study

Keywords Provided by Researchers

  • Same Day Colectomy
  • outpatient Colectomy

Additional Relevant MeSH Terms

  • Colorectal
  • Colectomy
  • Colectomy Left/Right/Total Under Laparotomy