STRATA: Surgical Treatment Using Robotic Approach in The Acute Abdomen

NCT07850401 | Recruiting DMC

• 1 other identifier: PortsmouthNHS
• Study Type: observational
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

Robotic surgery in the UK is now widely used in elective procedures based on evidence that it can improve outcomes, with improved vision and precision for the surgeon resulting in better results and greater rates of minimally invasive surgery. Despite this, there remain some concerns about its use with some saying it adds cost with limited or no benefit to patients. Its application in the emergency setting has not been well studied. However, emergency patients are the sickest patients, and so stand to potentially gain the most from robotic surgery, if it is shown to be beneficial by enabling more precise surgery. The investigators aim to evaluate the impact of robotics in emergency general surgery, on outcomes, patients, and surgeons as well as the greater health system. Given the need for modern health systems to reflect the needs and desires of their users, the investigators also aim to explore patient and surgeon preferences and priorities in emergency surgery with particular reference to surgical approach (open/laparoscopic/robotic).

Conditions

Emergency General Surgery

Outcome Measures

Primary Outcomes (1)

• Post-operative complications reported

  Post-operative complications reported in health records and patient reported complications. Comparison of complications reported for robotics and non-robotic emergency surgery

  1 year

Secondary Outcomes (3)

• Pre-operative questionnaire

  Pre-operative

• Local Experienced Discomfort Questionnaire

  Post-operation

• QoL15 and EQ5D-3L questionnaires

  up to 1 year

Study Arms (2)

Patient Perspective Group

Patients presenting with emergency general surgery conditions.

Emergency Surgery Group

Patients undergoing emergency general surgery.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

WP1. Any patients who undergo emergency (non-elective) general surgery via any surgical approach, robotic, open or laparoscopic as determined by the treating physician. WP2. Patients presenting to hospital with emergency general surgery conditions.

You may qualify if:

• Any patients who undergo emergency (non-elective) abdominal surgery
• Patient scheduled to undergo either an open, robotic or laparoscopic approach to surgery
• Willing and able to comply with study requirements
• Must have access to an internet enabled device

You may not qualify if:

• \<18 years of age
• Inability to give informed consent
• Minor procedures: Appendicectomy, abscess drainage
• Inability to return or complete electronic questionnaires
• Mental incapacity to understand or consent to study procedures

Sponsors & Collaborators

• Portsmouth Hospitals NHS Trust: lead

Study Sites (1)

Portsmouth Hospitals University NHS Trust

Portsmouth, Hampshire, PO6 3LY, United Kingdom

RECRUITING

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Year
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 10, 2026
• First Posted: September 30, 2026
• Study Start: July 24, 2026
• Primary Completion (Estimated): July 20, 2028
• Study Completion (Estimated): July 20, 2028
• Last Updated: September 30, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)