Robotic Right Hemicolectomy Versus Laparoscopic Right Hemicolectomy
PRORHEM
Robotic Right Hemicolectomy With Intracorporeal Anastomosis Versus Laparoscopic Right Hemicolectomy With Extracorporeal Anastomosis (PRORHEM): a Randomized Controlled Trial
1 other identifier
interventional
70
0 countries
N/A
Brief Summary
Robotic right hemicolectomy with intra-corporeal anastomosis may have better short-term recovery outcomes and decreased incidence of incisional hernia when compared to the laparoscopic actual standard of care, for similar safety outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Aug 2024
Typical duration for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 11, 2023
CompletedFirst Posted
Study publicly available on registry
October 5, 2023
CompletedStudy Start
First participant enrolled
August 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
May 10, 2024
May 1, 2024
2 years
September 11, 2023
May 9, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Time to first passage of faeces
Measured in hours, starting at the skin closure of the index surgery
From index surgical procedure (skin closure) until time of first passage of faeces, during hospitalisation, on average during the first 7 post-operative days
Secondary Outcomes (25)
Duration of surgery
From skin incision to skin closure, during index surgical procedure
Blood loss
From skin incision to skin closure, during index surgical procedure
Intra-operative transfusion
From skin incision to skin closure, during index surgical procedure
Intra-operative complication
From skin incision to skin closure, during index surgical procedure
Conversion to open surgery
From skin incision to skin closure, during index surgical procedure
- +20 more secondary outcomes
Study Arms (2)
Robotic right hemicolectomy
EXPERIMENTALRobotic right hemicolectomy with intracorporeal anastomosis and extraction through a C-section (fully minimally invasive right hemicolectomy)
Laparoscopic right hemicolectomy
ACTIVE COMPARATORLaparoscopic right hemicolectomy with extracorporeal anastomosis and extraction through midline (standard of care)
Interventions
Robotic right hemicolectomy with intracorporeal anastomosis and extraction through a C-section, using the Da Vinci Xi.
Laparoscopic right hemicolectomy with extracorporeal anastomosis and extraction through midline.
Eligibility Criteria
You may qualify if:
- Adult patients requiring elective minimally invasive RHC for cT1-T3 Nx M0 cancer of the right colon (including cancer of the appendix, caecum, ascending colon and hepatic flexure).
You may not qualify if:
- Not scheduled for minimally invasive RHC (refuses surgery and/or planned open approach)
- Emergency surgery
- Hereditary colorectal cancer
- Inflammatory bowel disease
- Synchronous resection of (an)other organ(s)
- Synchronous surgical procedure (including more extended resection of the lower gastrointestinal tract)
- cT4
- cM+
- History of laparotomy
- Pregnancy
- No anastomosis planned
- Unable to provide informed consent
- No informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Jeremy Meyerlead
- University Hospital, Genevacollaborator
- Spital Biel, Switzerlandcollaborator
- Hôpital Fribourgeoiscollaborator
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Christian Toso, MD, PhD
University Hospitals of Geneva
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Principal investigator
Study Record Dates
First Submitted
September 11, 2023
First Posted
October 5, 2023
Study Start
August 1, 2024
Primary Completion (Estimated)
August 1, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
May 10, 2024
Record last verified: 2024-05
Data Sharing
- IPD Sharing
- Will not share