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Brief Title: Minimally Invasive Right Colectomy Anastomosis Study
Official Title: A Prospective Observational Multi-center 4 Cohort Study Comparing Robotic Assisted and Laparoscopic Invasive Right Colectomy and Intracorporeal Anastomosis Versus Extracorporeal Anastomosis
Study ID: NCT03650517
Brief Summary: Right colectomy (hemicolectomy) involves the removal of the cecum, the ascending colon, the hepatic flexure, the first one-third of the transverse colon, part of the terminal ileum, and the associated regional fat and lymph nodes, and is the accepted treatment for malignant neoplasms of the right colon. A minimally invasive approach is commonly used for right colectomy, with studies reporting reduced complications, less blood loss, and hospital stay when compared to an open approach. However, there remains controversy regarding whether robotic assistance is advantageous for this technique and whether an intracorporeal (ICA) or extracorporeal anastomosis (ECA) is best. MIRCAST is a prospective, observational, international, multi-center, 4-parallel-cohorts study. Sites or surgeons will select a cohort of the study for which they are qualified. Four cohorts will be the subject of study: 1. Robotic Right Colectomy with ICA 2. Robotic Right Colectomy with ECA 3. Laparoscopic Right Colectomy with ICA 4. Laparoscopic Right Colectomy with ECA All patient assessments will be done according to the sites standard of care. Parameters routinely recorded during right colectomy surgery will be collected prospectively. Enrolled subjects will undergo assessments at the following intervals: pre-operative, operative, discharge, 30 days, 3 months, 1 year and 2 years post-surgery.
Detailed Description: MIRCAST study is an observational, prospective, parallel cohorts, international, multi-center to compare robotic assisted and laparoscopic minimally invasive right colectomy, and intracorporeal anastomosis versus extracorporeal anastomosis. The research is coordinated by Marcos Gómez Ruiz MD PhD from Hospital Universitario Marqués de Valdecilla in Santander, Spain; the sponsorship is performed by Fundacion Instituto de Investigación Marqués de Valdecilla (IDIVAL). The European Society of Coloproctology (ESCP) endorses MIRCAST Study and will run a quality audit/independent monitoring of the study. The objectives of study are to compare of the peri-operative complications after robotic assisted and laparoscopic minimally invasive right colectomy with intracorporeal anastomosis versus extracorporeal anastomosis. To Identify potential benefits of robotic assisted procedures for right colon resections.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
County Hospital Požega, Požega, , Croatia
Hospital of Southern Denmark, Aabenraa, , Denmark
Zealand University Hospital, Køge, , Denmark
Kanta-Hämeen Keskussairaala, Hämeenlinna, , Finland
Kymenlaakso Central Hospital, Kotka, , Finland
Päijät-Häme Central Hospital, Lahti, , Finland
Oulu University Hospital, Oulu, , Finland
Seinäjoki Central Hospital, Seinäjoki, , Finland
Hôpital Haut-Lévèque- CHU, Bordeaux, , France
CHU Estaing, Clermont-Ferrand, , France
ICM - Institut Régional du Cancer de Montpellier, Montpellier, , France
CHRU de Strasbourg Hôpital Civil, Strasbourg, , France
CHRU Nancy Brabois, Vandœuvre-lès-Nancy, , France
Medizinische Hochschule Hannover, Hannover, , Germany
Eurokliniki Athinou, Athens, Athina, Greece
AOU-Careggi, Florence, , Italy
Ospedale La Misericordia, Grosseto, , Italy
IEO - European Institute of Oncology, Milan, , Italy
Policlínico Agostino Gemelli, Roma, , Italy
Humanitas Research Hospital, Rozzano, , Italy
IRCCS Istituto di Candiolo, Torino, , Italy
Centro Hospitalar de Leiria, Leiria, , Portugal
Hospital General Universitario de Elche, Elche, Alicante, Spain
Hospital Central de Asturias, Oviedo, Asturias, Spain
Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain
Hospital Universitario Vall d´hebron, Barcelona, Cataluña, Spain
Hospital Universitario Donostia, San Sebastián, Pais Vasco, Spain
Complejo hospitalario de Torrecardenas, Almería, , Spain
Hospital de León, León, , Spain
Hospital Clínico San Carlos, Madrid, , Spain
Hospital Universitario 12 de octubre, Madrid, , Spain
Portsmouth Hospital NHS Trust, Portsmouth, , United Kingdom
Name: Marcos Gómez Ruiz, MD PhD
Affiliation: Hospital Universitario Marqués de Valdecilla, IDIVAL
Role: PRINCIPAL_INVESTIGATOR
Name: Galo Peralta, MD
Affiliation: Instituto de Investigación Marqués de Valdecilla
Role: STUDY_CHAIR