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Laparoscopic Colorectal Surgery Using Low-pressure Combined With Warm and Humidified Carbon Dioxide Insufflation

RECRUITINGN/ASponsored by Bordeaux Colorectal Institute Academy
Actively Recruiting
PhaseN/A
SponsorBordeaux Colorectal Institute Academy
Started2023-08-30
Est. completion2026-03
Eligibility
Age18 Years+
Healthy vol.Accepted

Summary

To improve post-operative recovery, medical device was developed combining low-pressure pneumoperitoneum and heated and humidified Carbon Dioxide (95˚F \& 95% RH) during laparoscopic surgery to reduce the harmful effects of cold/dry insufflation. A double-blind, prospective, randomized, controlled, monocentric trial is designed in the aim to assess the impact of low-pressure pneumoperitoneum with warm and humidified gaz on post-operative pain at 24 hours without taking opioids. It is compared with low-pressure laparoscopy with cold and dry gaz in patients undergoing colorectal surgeries.

Eligibility

Age: 18 Years+Healthy volunteers accepted
Inclusion Criteria:

* Colorectal surgery for malignant or benign pathology
* Surgery without stoma
* Patient operable by laparoscopy or robot assisted under low pressure pneumoperitoneum
* Age ≥ 18 years old
* Patient affiliated to a social security system or beneficiary of the same
* Informing the patient and obtaining free, informed, and written consent, signed by the patient and his investigator.

Exclusion Criteria:

* Laparotomy procedure
* Total or Subtotal Colectomy
* Transverse segmental colectomy
* Proctectomy with stoma or Total Coloproctectomy
* Procedure associated with colorectal surgery (except appendectomy or liver biopsy)
* Patient with stoma
* Probable realization of a stoma during the operation
* Crohn's disease, Hemorrhagic Rectocolitis (UC) with VAS \> 3
* Diverticulitis or Sigmoiditis with VAS \> 3
* Endometriosis with VAS \>3
* VAS before surgery\> 3
* BMI ≥ 30
* ASA ≥ 3 (except if ASA 3 for non-cardiac and/or vascular diseases)
* History of laparotomy
* Emergency surgery
* Pelvic Sepsis or Preoperative Fistula
* Pregnant woman, likely to be, or breastfeeding
* Persons deprived of their liberty or under measure of judicial protection (curators or guardianship) or unable to give their consent
* Persons undergoing psychiatric treatment without their consent
* Persons admitted to a health or social establishment for purposes other than research
* Inability to undergo medical monitoring of the trial for geographic, social or psychological reasons

Conditions3

Benign or Malignant Rectal or Colon TumorsCancerColorectal Surgery

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