ClinicalTrials.gg
CompletedNCT04310839COATIUpdated Feb 9, 2024

Outpatient Left Laparoscopic Colectomy

An observational study in Colonic Neoplasms and Colonic Diverticulosis, sponsored by Groupe Hospitalier de la Rochelle Ré Aunis. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-09.

Sponsored by Groupe Hospitalier de la Rochelle Ré Aunis · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 213 studies in Colonic Neoplasms with a site in France — 49 open to participants now, 66 under way, 13 of them phase 3. Colonic Neoplasms · France.

Enrollment
50th of 55
30 · median 220
Started
2020
with 10 others
Observational
55 of 213
14 open now
Registered
140th of 213
by date

Among the 213 studies in Colonic Neoplasms with a site in France, this one is the 50th largest by enrollment of the 55 observational ones that give a count, is one of 11 that started in 2020, is one of 55 observational ones, and was the 140th registered.

Colonic Neoplasms

2,457 studies on the registry are indexed under Colonic Neoplasms; 458 are open to participants now.

Browse Colonic Neoplasms studies →

Open to participants now

49 of the 213 studies in Colonic Neoplasms with a site in France are open now. Recruiting first, the newest first:

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All 49 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 326 Colonic Neoplasms studies recruiting now, 203 (62%) set no upper age limit and 71 (22%) stop at 75 or younger; 19 take children under 18; 34 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The success of the enhanced recovery program after surgery leads us to consider outpatient management of the colectomy. To this end, the investigators have designed an observational and prospective study of left laparoscopic colectomy on an outpatient basis. The objective is to assess the harmlessness of this management compared to standard management in the context of a public hospital.

Read the detailed description

In France, colectomy represents about 40,000 interventions per year, most of them scheduled, and 2/3 in a context of neoplasia. This surgery is associated with numerous postoperative complications. Since the start of Enhanced Recovery After Surgery (ERAS) in 1997, complications have been steadily reduced by optimizing surgical and anaesthetic techniques. At the same time, the average length of post-operative stay has decreased. In 2014, ERAS was the subject of recommendations by the French Society of Anaesthesia and Resuscitation, taken up by the French Health Authority (HAS) in 2016, and which are now an integral part of surgical management in colorectal surgery. More recently, two teams have set up an outpatient colectomy program. The three studies published on this subject show encouraging results, in a private structure, with no increase in postoperative complications.

In accordance with the recommendations on ERAS published by the HAS, a program involving pre-, per- and post-interventional investment, has been put in place. Patients are discharged on D0, followed by close monitoring by a home care nurse twice daily. This nurse is in charge of collecting clinical data in order to detect possible early signs of post-operative complications that would justify re-hospitalisation after a medical-surgical decision.

03

Conditions studied

  • Colonic Neoplasms
  • Colonic Diverticulosis
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients taken care for a left colectomy due to colonic neoplasm or diverticulosis

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Classification (ASA) score I and II,
  • Patient with an indication for scheduled left colectomy due to neoplastic (stage 1) or diverticulitis,
  • Patient residing less than 30 minutes from La Rochelle hospital,
  • Presence of a companion from the anaesthesia consultation onwards,
  • Presence of an attendant at the patient's discharge,
  • Perfect understanding of outpatient care, pathology and surgical procedure of the patient and accompanying person,
  • Informed of the study.

Exclusion criteria

Exclusion Criteria:

  • 3 et 4,
  • Indication for a straight or transverse colectomy,
  • Neoplasia evolution > stage 1,
  • Presence of anticoagulant treatment,
  • Intraoperative bleeding > 500ml,
  • Conversion to laparotomy,
  • Severe anesthetic complication (Anaphylaxis, Difficult Intubation),
  • Persons deprived of their liberty by a judicial or administrative decision,
  • Persons of full age who are subject to a legal protection measure,
  • Persons unable to consent,
  • Persons who are not members of or beneficiaries of a social security scheme,
  • Patient's refusal to participate in the study.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
30 participants (actual)
Patient registry
No

Groups and cohorts

  • outpatient left laparoscopic colectomy

    Left laparoscopic laparoscopic colectomy patient managed on an outpatient basis

    Procedure: Colectomy

Interventions

  • ProcedureColectomy

    colectomy due to neoplastic (stage 1) or diverticulosis

06

What researchers measure

Primary outcomes

  1. 30-day readmission rate

    Number of re-hospitalisation after a medical-surgical decision due to post-operative complications

    Time frame: 30 days after surgery

Secondary outcomes

  1. Pain measurement: pain rating scale

    Score at the numerical pain rating scale

    Time frame: 7 days after surgery

  2. Mobilization

    Time (in hours) between extubation and first mobilization

    Time frame: Day 0

  3. Ileus

    Number of day between surgery and first gas / stool

    Time frame: up to 7 days after surgery

07

Study locations

1 site
  • Groupe Hospitalier de la Rochelle Ré Aunis
    La Rochelle, France
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2020 to primary completion in Nov 2022, 23 months.

Of 186 non-industry observational studies under Colonic Neoplasms, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 116. This study's 23 months is below that.

Counting every sponsor, half of 224 studies reached it within 50 months; a quarter within 24 and three quarters within 116.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 13, 2020
First posted
Mar 17, 2020
StartActual
Nov 3, 2020
Primary completionActual
Nov 2, 2022
CompletionActual
Dec 2, 2022
Last update
Feb 9, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 9, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04310839
Lead sponsor
Groupe Hospitalier de la Rochelle Ré Aunis
Collaborators
Medtronic
Responsible party
Sponsor
First posted
Mar 17, 2020
Start date
Nov 3, 2020
Primary completion
Nov 2, 2022
Completion
Dec 2, 2022
Last update
Feb 9, 2024

Study contacts

Alexandre Smirnoff, MD
study director · Groupe Hospitalier de la Rochelle Ré Aunis

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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