Cytokine-guided Robotic Cystectomy (CY-ROC)

  • Research type

    Research Study

  • Full title

    Diagnostic Accuracy of increased serum cytokine levels as a marker of paralytic ileus following Robotic Radical Cystectomy

  • IRAS ID

    253466

  • Contact name

    Nikhil Vasdev

  • Contact email

    nikhil.vasdev@nhs.net

  • Sponsor organisation

    East and North Hertfordshire NHS Trust

  • Duration of Study in the UK

    0 years, 6 months, 0 days

  • Research summary

    Cytokines are signalling proteins that are release by immune cells in response to stress on the body. In this study we aim to evaluate the concordance between cytokine rise (specifically monitoring the following cytokines: IFN-gamma, TNF-alpha, IL-1beta, IL-2, IL-4, IL-6, IL-12 and IL-17) and postoperative ileus (a condition where bowel function slows causing build up of faecal matter) following robotic radical cystectomy and the pneumoperitoneum (gas insufflation of the abdomen) pressures that were required intra-operatively.

    We plan to perform an observational study involving 20 patients undergoing radical cystectomy. We plan to measure pre-anaesthetic, post-anaesthetic, immediately post-operatively and two further post-operative serum cytokines levels and compare them with the pneumoperitoneal pressures required intra-operatively and the outcome of whether a clinical diagnosis of paralytic ileus was made.

    No alterations will be made to the care of the patient, this is purely an observational study.

  • REC name

    South West - Cornwall & Plymouth Research Ethics Committee

  • REC reference

    18/SW/0250

  • Date of REC Opinion

    2 Nov 2018

  • REC opinion

    Further Information Favourable Opinion