LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trial

Abstract Background Due to faster recovery and lower morbidity rates, laparoscopy has become the gold standard in elective colorectal surgery for both the benign and malignant forms of the disease. A substantial proportion of colorectal operations are, however, carried out in emergency settings, and...

Full description

Bibliographic Details
Main Authors: Marie T. Grönroos-Korhonen, Jyrki A. O. Kössi
Format: Article
Language:English
Published: BMC 2024-04-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-024-08058-0
_version_ 1797199216332767232
author Marie T. Grönroos-Korhonen
Jyrki A. O. Kössi
author_facet Marie T. Grönroos-Korhonen
Jyrki A. O. Kössi
author_sort Marie T. Grönroos-Korhonen
collection DOAJ
description Abstract Background Due to faster recovery and lower morbidity rates, laparoscopy has become the gold standard in elective colorectal surgery for both the benign and malignant forms of the disease. A substantial proportion of colorectal operations are, however, carried out in emergency settings, and most of the emergency resections are still performed open. The aim of this study is to compare the laparoscopic versus open approach for emergency colorectal surgery. Method/design This is a multicenter prospective randomized controlled trial including adult patients presenting with a condition requiring emergency colorectal resection. Discussion Previous studies cautiously recommend wider use of laparoscopy in emergency colorectal resections, but all earlier reports are retrospective, are mostly single-center studies, and have limited numbers of patients. Laparoscopy may involve some unpredictable risks that have not yet been reported because of the infrequent use of the techniqueded to assess the safety of laparoscopy as well as the advantages and disadvantages of open compared with laparoscopic emergency surgery. Trial registration Trial registration number:  ClinicalTrials.gov   NCT05005117 . Registered on August 12, 2021.
first_indexed 2024-04-24T07:12:14Z
format Article
id doaj.art-c6b477b7815545c9904c59d2712544b5
institution Directory Open Access Journal
issn 1745-6215
language English
last_indexed 2024-04-24T07:12:14Z
publishDate 2024-04-01
publisher BMC
record_format Article
series Trials
spelling doaj.art-c6b477b7815545c9904c59d2712544b52024-04-21T11:29:23ZengBMCTrials1745-62152024-04-0125111010.1186/s13063-024-08058-0LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trialMarie T. Grönroos-Korhonen0Jyrki A. O. Kössi1Gastroenterological Surgery, Päijät-Häme Central HospitalGastroenterological Surgery, Päijät-Häme Central HospitalAbstract Background Due to faster recovery and lower morbidity rates, laparoscopy has become the gold standard in elective colorectal surgery for both the benign and malignant forms of the disease. A substantial proportion of colorectal operations are, however, carried out in emergency settings, and most of the emergency resections are still performed open. The aim of this study is to compare the laparoscopic versus open approach for emergency colorectal surgery. Method/design This is a multicenter prospective randomized controlled trial including adult patients presenting with a condition requiring emergency colorectal resection. Discussion Previous studies cautiously recommend wider use of laparoscopy in emergency colorectal resections, but all earlier reports are retrospective, are mostly single-center studies, and have limited numbers of patients. Laparoscopy may involve some unpredictable risks that have not yet been reported because of the infrequent use of the techniqueded to assess the safety of laparoscopy as well as the advantages and disadvantages of open compared with laparoscopic emergency surgery. Trial registration Trial registration number:  ClinicalTrials.gov   NCT05005117 . Registered on August 12, 2021.https://doi.org/10.1186/s13063-024-08058-0LaparoscopyEmergency surgeryColonColon cancerLarge bowel obstructionRandomized controlled trial
spellingShingle Marie T. Grönroos-Korhonen
Jyrki A. O. Kössi
LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trial
Trials
Laparoscopy
Emergency surgery
Colon
Colon cancer
Large bowel obstruction
Randomized controlled trial
title LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trial
title_full LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trial
title_fullStr LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trial
title_full_unstemmed LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trial
title_short LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trial
title_sort lapemerge trial study protocol for a laparoscopic approach for emergency colon resection a multicenter open label randomized controlled trial
topic Laparoscopy
Emergency surgery
Colon
Colon cancer
Large bowel obstruction
Randomized controlled trial
url https://doi.org/10.1186/s13063-024-08058-0
work_keys_str_mv AT marietgronrooskorhonen lapemergetrialstudyprotocolforalaparoscopicapproachforemergencycolonresectionamulticenteropenlabelrandomizedcontrolledtrial
AT jyrkiaokossi lapemergetrialstudyprotocolforalaparoscopicapproachforemergencycolonresectionamulticenteropenlabelrandomizedcontrolledtrial