Symptoms and General Pathology

All Conditions

Neoplasms

Digestive System Diseases

Anastomotic Leak

Rectal Neoplasms

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Intestinal Diseases

Rectal Diseases

Postoperative Complications

patients undergoing ARR with primary anastomosis between November 2016 and December 2020 after centralization of rectal cancer cases

patients undergoing ARR with primary anastomosis between January 2006 and October 2016

In November 2016, the decision to centralize rectal cancer patients to only one surgical unit was taken, with only two surgeons performing the procedures. Furthermore, a close collaboration with local Gastroenterology Units and General Practiotioners was started in order to increase colorectal cancer case referral to our unit. At the same time, we decided to promote the use of laparoscopy and to implement ERAS protocol in our colorectal surgery practice.

Rectal cancer case centralization

Hospital centralization effect is reported to lower complications and mortality especially for high risk and complex general surgery operations, including colorectal surgery. However, no linear relation between volume and outcome has been demonstrated. Aim of the study was to evaluate the increased surgical volume effect on early outcomes of patient undergoing restorative anterior rectal resection (ARR).

Volume-outcome Relationship in Rectal Cancer Surgery

rate of any postoperative leakage of colo-rectal anastomosis clinically, radiologically or endoscopically demonstrated

rate of any surgical site infection clinically demonstrated

Rate of any complication after rectal resection

rate of radiologically demonstrated pneumonia

rate of any ileus clinically demonstrated

Rate of any clinically radiologically or endoscopically demonstrated bleeding after rectal resection

Rate of any unplanned readmission after discharge

number of days between primary rectal resection and discharge

rate of minimally invasive rectal ARR performed

rate of conversion form laparoscopy to one surgery

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Volume-outcome Relationship in Rectal Cancer Surgery	NCT04761536	Rectal Cancer Anastomotic Lea...	Rectal cancer c...	18 Years -	University of Rome Tor Vergata
Volume-outcome Relationship in Rectal Cancer Surgery	NCT04761536	Rectal Cancer Anastomotic Lea...	Rectal cancer c...	18 Years -	University of Rome Tor Vergata

Spots Global Cancer Trial Database for rectal cancer case centralization