FILTER

  • Research type

    Research Study

  • Full title

    A prospective cohort study of Functional and Immunological outcomes after Laparoscopic and Robotic Total Meso-rectal Excision for rectal cancer

  • IRAS ID

    310837

  • Contact name

    Jim Khan

  • Contact email

    jim.khan@porthosp.nhs.uk

  • Sponsor organisation

    Portsmouth Hospitals University NHS Trust

  • Duration of Study in the UK

    3 years, 0 months, 0 days

  • Research summary

    This study is an observational, prospective, single-centre study comparing 2 surgical techniques used to treat rectal cancer patients. The investigated techniques will be the standard keyhole technique (also called laparoscopic or minimal invasive (MIS) surgery) and the robot-assisted technique. Robot-assisted surgery uses the robotic systems to aid the surgical procedures, providing more precision, flexibility, and control than is possible with standard keyhole technique. Our hypothesis is that this may also result in less harm to surrounding tissues.

    Our main interests will be to compare the stress response after surgery and the restoration of digestive, urinary and sexual functions after surgery. We are looking to recruit 80 patients within 2 years with a follow-up period of 12 months.

    To compare the surgical stress response between the groups, we will be taking blood samples before surgery and on the first, third and fifth day after surgery (with the day of surgery being day 0). We will assess the functional outcomes through validated questionnaires filled in before surgery, and at 6 and 12 months after surgery.
    The research team will also gather further information about the recovery and cancer treatment by reviewing the patient’s medical records during follow-up.

    This study will not affect the surgical after care of patients in both groups. After completing this study, we hope to have a better insight into which technique causes less harm to the surrounding structures by observing the stress response and functional outcomes after rectal cancer surgery. The ambition of this work is to increase knowledge on surgical techniques for rectal cancer management, and to improve standard of care for these patients.

  • REC name

    South Central - Hampshire B Research Ethics Committee

  • REC reference

    22/SC/0051

  • Date of REC Opinion

    18 Mar 2022

  • REC opinion

    Further Information Favourable Opinion