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Completed

NCT Number: NCT02309931

ISOperistaltic Versus ANTIperistaltic Anastomosis After Laparoscopic Right Colectomy for Cancer

The study will provide a precise control compared to the two interventions (iso vs antiperistaltic anastomoses) with thorough measurements of the postoperative variables and complications to improve the evaluation of the surgical technique. It will also enable an evaluation of the quality of life after the procedures.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hospital Universitario Virgen de La Arrixaca

Murcia, 30120, Spain

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The patient has given informed consent to participate
  • No surgery contraindications
  • Elective surgery
  • No pregnancy or nursery during the study
  • Older than 18 years
  • Complete preoperative cancer staging
  • Tumour characteristics:
  • Cecum, ascending, hepatic angle or transverse colon tumour confirmed by endoscopic biopsy
  • Radiologically resectable tumours
  • Absence of vascular, nervous or bone infiltration
  • T4 stages with near organ infiltration
  • Absence of peritoneal carcinomatosis
  • Absence of respiratory pathology that prevents for doing hydrogen breath test

Exclusion criteria

  • Pregnancy
  • Intestinal bowel disease like Crohn's disease or ulcerative colitis.
  • Metastatic bone illness
  • Previous abdominal surgery with bowel resection
  • Malabsorption syndromes

Treatment and study plan

antiperistaltic side-to-side ileocecal anastomosis

Procedure

Right laparoscopic hemicolectomy + antiperistaltic side-to-side ileocecal anastomosis

isoperistaltic side-to-side ileocecal anastomosis

Procedure

Right laparoscopic hemicolectomy+isoperistaltic side-to-side ileocecal anastomosis

Primary outcomes

  1. postoperative complications

    Time frame: within the first 30 days up to one year after surgery

    Number of patients with postoperative complications and grade of Clavien-Dindo

Secondary outcomes

  1. Operating time

    Time frame: During surgery

  2. Anastomosis time

    Time frame: From the enteromy to its closure.

  3. Hospital length of say

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 4 days

  4. first tolerance day

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 4 days

    First day taking liquids without vomits or abdominal distension

  5. first flatus day

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 4 days

  6. first faeces day

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 4 days

  7. Orocecal transit

    Time frame: up to one year

    Using hydrogen breath test curves. preoperative, at day 2 postoperative, 1 month, 6 months and 1 year.

  8. Gastrointestinal life quality

    Time frame: up to one year

    Using gastrointestinal quality life index questionnaire. preoperative, 1 month, 6 months and 1 year.

Sponsors and collaborators

Lead sponsor

Hospital Universitario Virgen de la Arrixaca

Other

Registry information

Official study title

Randomized Clinical Trial Comparing Isoperistaltic Versus Antiperistaltic Side to Side Anastomosis After Right Laparoscopic Hemicolectomy for Cancer.

Acronym: ISOVANTI

Important dates

Study start
2014
Primary completion
2016
Study completion
2017
First posted
Dec 5, 2014
Registry last updated
Mar 7, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.