Symptoms and General Pathology

All Conditions

Disease Progression

Disease Attributes

selective lymph node dissection

Systemic Lymph Node Dissection

A single-center study on the effect of systemic/selective lymph node dissection on the prognosis of ground glass nodules smaller than 3cm and with components with consolidation/tumor ratio between 0.5-1

systemic or selective lymph node dissection group

A Single-center Study on the Effect of Systemic/Selective Lymph Node Dissection on the Prognosis of Ground Glass Nodules Smaller Than 3cm and With Components With Consolidation/Tumor Ratio Between 0.5-1

Shanghai Zhongshan Hospital

Neoplasms

Digestive System Diseases

Pain, Postoperative

Pain

Colonic Neoplasms

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Colonic Diseases

Intestinal Diseases

Patients undergo robotic right colectomy with intracorporeal anastomosis.

Patients undergo robotic right colectomy with extracorporeal anastomosis.

Use of intracorporeal anastomosis technique

Intracorporeal anastomosis

Use of the conventional extracorporeal anastomosis technique

Extracorporeal anastomosis

Right-sided colonic cancer is treated with right-sided colectomy, predominantly performed as minimally invasive surgery with extracorporeal anastomosis (ECA). In recent years a new technique with intracorporeal anastomosis (ICA) has emerged and it is thought that ICA is less invasive and thereby has the potential to improve the postoperative course of right colonic cancer patients.

The objective of this study is to compare robotic right colectomy with either ICA or ECA in a randomized controlled setting.

INtracorporeal Versus EXtracorporeal Anastomosis in Robotic Right Colectomy

Intracorporeal Versus Extracorporeal Anastomosis in Robotic Right Colectomy - a Double-blinded Randomized Controlled Trial

Continuously ECG-monitoring intraoperatively and postoperatively

Measuring changes in expression of ROS and immulogical genes due to surgery.

Herlev and Gentofte Hospital

Skin and Connective Tissue Diseases

Breast Neoplasms

Breast Diseases

Skin Diseases

Analgesics

Central Nervous System Depressants

All Drugs and Chemicals

Ketamine

Anesthetics

Anesthetics, Dissociative

Anesthetics, Intravenous

Anesthetics, General

Excitatory Amino Acid Antagonists

Neurotransmitter Agents

0.5mg/kg intravenous ketamine injection before incision followed by 0.25mg/kg/hr intravenous ketamine infusion during the operation

ketamine

Same volume of normal saline will be administrated

Normal saline

Junli Cao

Yuan Han

Cao Junli

Han Yuan

Breast cancer patients often have perioperative emotional disorders such as anxiety and depression, which can lead to poor quality of recovery.This study aims to determine whether ketamine could improve the quality of recovery in breast cancer patients. Meanwhile, it will show if ketamine could improve anxiety, depression, postoperative pain and fatigue.This trial also will bring great concerns on patients' mental health perioperatively and explore the measures to improve their quality of life.

Effect of Perioperative Low Dose Ketamine on Postoperative Recovery in Patients Undergoing Breast Cancer Surgery

Quality of recovery will be evaluated by Quality of Recovery 40 (QoR40),which assesses five dimensions of recovery (physical comfort,emotional state, physical independence , physiological support and pain ). Each item is rated on a five-point Likert scale: none of the time, some of the time, usually, most of the time, and all the time. The total score on the QoR40 ranges from 40 (poorest quality of recovery) to 200 (best quality of recovery).

Fatigue state will be evaluated by Identity Consequence Fatigue Scale (ICFS).ICFS is based on a score of 31-173, higher scores representing worse state of fatigue.

Perioperative emotion will be evaluated by the hospital anxiety and depression scale（HADS）.The HADS is a fourteen item scale. Seven of the items relate to anxiety and seven relate to depression. The anxiety and depression subscales each range from 0 to 21, with higher scores indicating higher anxiety/depression complains. Patients were defined as having anxiety or depression or both if the score was 8 or more in the corresponding subscale.

The incidence of chronic pain at 3 months after surgery

Evaluate the severity using numerical rating scale（NRS）, where zero mean no pain and 10 the worst imaginable pain.

hallucination, nightmare and delirium will be recorded

Doctor-in-charge of Anesthetist

Urinary Tract, Sexual Organs, and Pregnancy Conditions

Urinary Bladder Neoplasms

Urologic Neoplasms

Urogenital Neoplasms

Urogenital Diseases

Female Urogenital Diseases

Pregnancy Complications

Female Urogenital Diseases and Pregnancy Complications

Urinary Bladder Diseases

Urologic Diseases

Male Urogenital Diseases

Adjuvants, Anesthesia

Platelet Aggregation Inhibitors

Bupivacaine

Fentanyl

Propofol

Sevoflurane

Anesthetics, Local

Hypnotics and Sedatives

Analgesics, Opioid

Narcotics

Anesthetics, Inhalation

Transurethral resection of the bladder performed under spinal anesthesia.

Transurethral resection of the bladder performed under general anesthesia.

Spinal anesthesia

General anesthesia

bupivacaine

fentanyl

propofol

sevoflurane

Nina Sulen, MD

Tatjana Simurina, MD, PhD

Tatjana Simurina, MD,PhD

Tomislav Soric, MD,PhD

Transurethral resection of the bladder (TURB) is often performed as an outpatient procedure so high-quality postoperative recovery is particularly important. The aim of this study is to compare postoperative quality of recovery after spinal anesthesia (SA) and general anesthesia (GA) for transurethral resection of the bladder.

After written informed consent is obtained seventy patients aged 18-80 years, ASA (American Society of Anesthesiologists) physical status class I-III scheduled for TURB will be randomly assigned to either spinal anesthesia or general anesthesia. Spinal anesthesia will be performed with 12.5 mg of bupivacaine mixed with 25 mcg of fentanyl. General anesthesia will be performed with propofol and fentanyl and maintained with sevoflurane, without use of neuromuscular blocking agents. Quality of Recovery 40 questionnaire (QoR-40) administered before and 24 hours after surgery will be used for assessment of postoperative recovery.

Postoperative Quality of Recovery After Transurethral Resection of the Bladder

Postoperative Quality of Recovery After Transurethral Resection of the Bladder: Spinal Versus General Anesthesia

Quality of Recovery 40 questionnaire at 24 hours

Postoperative opioid consumption over 24 hours

Postoperative pain measured with visual analogue scale at 1,6 and 24 hours

Overall patient satisfaction with anesthesia measured with numerical rating scale

General Hospital Zadar

Anesthesiology and Intensive Medicine Specialist

Musculoskeletal Diseases

Wounds and Injuries

Gland and Hormone Related Diseases

Infections

Syndrome

Shoulder Impingement Syndrome

Gallstones

Cholelithiasis

Cholecystolithiasis

Cysts

Ovarian Cysts

Appendicitis

Communicable Diseases

Intraabdominal Infections

Gastroenteritis

Cecal Diseases

Joint Diseases

Shoulder Injuries

Ovarian Diseases

Adnexal Diseases

Genital Diseases, Female

Genital Diseases

Gonadal Disorders

Endocrine System Diseases

Biliary Tract Diseases

Gallbladder Diseases

Calculi

Pathological Conditions, Anatomical

Oxycodone

Adult patients who were treated in 23 h surgical unit

Patients were treated in 23 surgical unit

23 h surgery

Ulla-Maija Ruohoaho, MD

Extended day surgery or 23 h surgery (23-hour surgery) is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked.

Extended day surgery or 23 h surgery is a surgical model where patients arrive to the hospital from home at the day of surgery, are operated and recover in a 23 h surgery unit. 23H surgery units are usually situated near postoperative recovery unit. THe 23 H surgical model was implemented in Kuopio University Hospital 2015 and between May 2017-May 2018 patients were recruited in the present prospective follow up cohort study. Patients were informed and they gave their informed consent. The patients were contacted two weeks after the study and details of their recovery were asked. Satisfaction to the care in 23 h unit and surgical process, were asked. Amount of readmissions, reoperations, contacts to health care professionals and adverse events are recorded.

Detailed information about intensity of pain, analgesic need and use in the hospital was recorded and pain interference in daily life for short term recovery period was asked.

Implementation of 23 Hour Surgery Model in a Tertiary Hospital

23 Hour Surgical Model in a Tertiary Hospital: Evaluation From Patient and Organisational Perspective

Adverse events after 23 h surgical procedure

The amount of patients discharged from hospital by the first postoperative day 10 am

Pain intensity after surgery for the first 24 hours

Amount of different analgesics consumed during the 24 h period postoperatively

How many patients are admitted to hospital within 30 postoperative days

How many patients are reoperated within 30 postoperative days

Amount of adverse events after surgery within 14 postoperative days

Number of contacts to health care within 14 postoperative days

Scale 0-7 (0= not satisfied, 7 =very satisfied), the higher score the better result

Amount of patients who had pain still two weeks after surgery

Patient assessed pain interference in daily activities up to 2 weeks after surgery

amount of patients using analgesics two weeks after surgery

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
A Single-center Study on the Effect of Systemic/Selective Lymph Node Dissection on the Prognosis of Ground Glass Nodules Smaller Than 3cm and With Components With Consolidation/Tumor Ratio Between 0.5-1	NCT05184829	Progression Postoperative R...	selective lymph... Systemic Lymph ...	25 Years - 75 Years	Shanghai Zhongshan Hospital
A Single-center Study on the Effect of Systemic/Selective Lymph Node Dissection on the Prognosis of Ground Glass Nodules Smaller Than 3cm and With Components With Consolidation/Tumor Ratio Between 0.5-1	NCT05184829	Progression Postoperative R...	selective lymph... Systemic Lymph ...	25 Years - 75 Years	Shanghai Zhongshan Hospital
INtracorporeal Versus EXtracorporeal Anastomosis in Robotic Right Colectomy	NCT03130166	Colonic Cancer	Intracorporeal ... Extracorporeal ...	-	Herlev and Gentofte Hospital
Effect of Perioperative Low Dose Ketamine on Postoperative Recovery in Patients Undergoing Breast Cancer Surgery	NCT03676114	Breast Cancer	ketamine Normal saline	20 Years - 65 Years	Xuzhou Medical University
Postoperative Quality of Recovery After Transurethral Resection of the Bladder	NCT02534623	Urinary Bladder... Transurethral R... Postoperative R...	Spinal anesthes... General anesthe... bupivacaine fentanyl propofol sevoflurane	18 Years - 80 Years	General Hospital Zadar
Implementation of 23 Hour Surgery Model in a Tertiary Hospital	NCT04142203	Ambulatory Surg... Laparoscopy Shoulder Imping... Ovarian Cysts Cholecystolithi... Appendicitis Gynecologic Sur... Ambulatory Surg... Neurosurgery	23 h surgery	18 Years - 100 Years	Kuopio University Hospital
Postoperative Quality of Recovery After Transurethral Resection of the Bladder	NCT02534623	Urinary Bladder... Transurethral R... Postoperative R...	Spinal anesthes... General anesthe... bupivacaine fentanyl propofol sevoflurane	18 Years - 80 Years	General Hospital Zadar
Implementation of 23 Hour Surgery Model in a Tertiary Hospital	NCT04142203	Ambulatory Surg... Laparoscopy Shoulder Imping... Ovarian Cysts Cholecystolithi... Appendicitis Gynecologic Sur... Ambulatory Surg... Neurosurgery	23 h surgery	18 Years - 100 Years	Kuopio University Hospital
Effect of Perioperative Low Dose Ketamine on Postoperative Recovery in Patients Undergoing Breast Cancer Surgery	NCT03676114	Breast Cancer	ketamine Normal saline	20 Years - 65 Years	Xuzhou Medical University

Spots Global Cancer Trial Database for postoperative recovery