RObotic Versus LAparoscopic Colectomy for DIverticulitis. (ROLADI)
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ClinicalTrials.gov Identifier: NCT05829343 |
Recruitment Status :
Recruiting
First Posted : April 25, 2023
Last Update Posted : January 3, 2024
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Over the last decade there has been a growing interest toward the application of robotic approach for diverticular disease. The evidence available on the literature showed that robotic approach, compared to the laparoscopic surgery, offers significant advantages in terms of conversion rate and shortened hospital stay for the treatment of diverticular disease.
The investigators aimed at evaluating whether robotic colectomy may offer some advantages over the laparoscopic approach for surgical treatment of diverticular disease by analyzing a one year multicenter prospective study.
Primary objective is to evaluate if robotic approach reduce the rate of conversion to open approach compared to laparoscopic surgery. Secondary objective is to assess difference between the two approaches in terms of rate of intraoperative complication, postoperative morbidities (according with Clavien and Dindo Classification), hospital stay and at one year follow up. Inclusion criteria are: elective colectomy for complicated or non-complicated diverticular disease performed with laparoscopic or robotic approach and age between 18 and 90 years. Exclusion criteria are non-elective colectomy (emergency resection), open procedure, diverticular resection performed during other procedure (i.e. colectomy for cancer). Data will be collected in one year from the start of the study.
Due to the lack of available evidence, it is impossible to draw definitive conclusions. With this study, the investigators hope to clarify the role of the robotic approach in the treatment of diverticular disease.
Condition or disease | Intervention/treatment |
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Diverticular Diseases Diverticulitis | Procedure: Laparoscopic Left colectomy Procedure: Robotic left colectomy |
Study Type : | Observational |
Estimated Enrollment : | 1450 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | RObotic vs LAparoscopic Colectomy for DIverticulitis. A Multicenter Observational Prospective Study. |
Actual Study Start Date : | June 1, 2023 |
Estimated Primary Completion Date : | June 30, 2024 |
Estimated Study Completion Date : | June 30, 2025 |
Group/Cohort | Intervention/treatment |
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Robotic surgery group
Patients with diverticular disease resected with a robotic approach.
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Procedure: Robotic left colectomy
Patients are treated with a robotic approach as the standard of care for the treatment of left-sided colonic diverticular disease, depending on the experience of the surgeon or institution. |
Laparoscopic surgery group
Patients with diverticular disease resected with a laparoscopic approach.
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Procedure: Laparoscopic Left colectomy
Patients are treated with a laparoscopic approach as the standard of care for the treatment of left-sided colonic diverticular disease, depending on the experience of the surgeon or institution. |
- Conversion rate [ Time Frame: One year ]The primary objective is to evaluate whether the robotic approach reduces the rate of conversion to open surgery compared to laparoscopic surgery.
- Intra - operative complications [ Time Frame: One year ]The first secondary outcome measure is to assess the difference between the two approaches in terms of intra-operative complications (e.g. bleeding, spleen injury, ureteral injury, bowel perforation)
- Operative time [ Time Frame: One year ]Evaluate the possible difference in terms of operative time (expressed in minutes) between the two groups, to assess whether the robotic approach has a longer operative time than the laparoscopic approach.
- Complicated disease [ Time Frame: One year ]Evaluate the difference between the two approaches in the number of complicated cases performed. For example, analyze whether one group performs more complicated diverticular disease (e.g., colonic stenosis, colorectal fistula, intraperitoneal abscess) than the other.
- 30 day Post - operative complications [ Time Frame: One year ]Another secondary outcome measure is to assess the difference between the two groups in terms of post-operative complications (using the Clavien and Dindo classification).
- 30-day Post - operative re-operation [ Time Frame: One year ]Evaluate the possible difference in term of rate of re-operation between the two groups within 30 day after surgery.
- 30-day Post - operative mortality [ Time Frame: One year ]Evaluate the possible difference in term of rate of mortality between the two groups within 30 day after surgery.
- Length of hospital stay [ Time Frame: One year ]Evaluate the possible difference in term of length of hospital stay (expressed in day) between the two groups.
- Time to return at work [ Time Frame: One year ]Evaluate the possible difference in time to return to work (expressed in days from surgery) between the two groups.
- One year follow up [ Time Frame: Two years ]Evaluate the possible difference in terms of disease recurrence or incisional hernia, between the two groups at one year after surgery.
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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- Age > 18 years
- Elective or delayed urgency colorectal resection for left-sided DD
- Fully minimally invasive (robotic or laparoscopic) procedures.
Exclusion Criteria:
- Age < 18 years
- Urgent resection for DD
- Hybrid minimally invasive resection
- Conventional open resection.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05829343
Italy | |
Department of General and Emergency Surgery. Misericordia Hospital. Director: Coratti Andrea, MD | Recruiting |
Grosseto, Tuscany, Italy, 58100 | |
Contact: Giuseppe Giuliani, MD 0039 3407356132 roladistudy@gmail.com |
Responsible Party: | Giuliani Giuseppe, MD - Assistant surgeon, S.M. Misericordia Hospital |
ClinicalTrials.gov Identifier: | NCT05829343 |
Other Study ID Numbers: |
ROLADI - 1.0 |
First Posted: | April 25, 2023 Key Record Dates |
Last Update Posted: | January 3, 2024 |
Last Verified: | December 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Diverticular Disease Robotic surgery Laparoscopic surgery Minimal invasive surgery Colorectal surgery |
Diverticulitis Diverticular Diseases Diverticulum Gastroenteritis |
Gastrointestinal Diseases Digestive System Diseases Pathological Conditions, Anatomical |