RAPCo v1.0
Research type
Research Study
Full title
Reducing Intra Abdominal Pressure in Laparoscopic Colorectal Surgery
IRAS ID
195289
Contact name
Roel Hompes
Contact email
Sponsor organisation
Oxford University Hospitals NHS Foundation Trust
ISRCTN Number
ISRCTN20038720
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Colorectal cancer is cancer of the lower part of the tubes through which food passes through the body. Keyhole surgery is now considered to be the best way of treating this disease. In keyhole surgery, small cuts are made into the tummy (abdomen) through which the surgeon can pass a viewing system and instruments to do the surgery. This is better for the patient than having a large operation(open surgery) of the abdomen. With keyhole surgery, the patient is in hospital for less time and gets over the operation much quicker. \nDuring keyhole surgery it is difficult to see what is inside the tummy because everything is squashed together in a confined space. The surgeon gets round this by passing a gas through the keyhole to cause pressure in the tummy. This pushes the organs apart and by changing the patients position, makes surgery easier.\nCarbon dioxide is the gas used because it is safer and relatively cheap.\nSome patients such as the elderly, obese and those with lung problems may be affected by the increased pressure in the tummy and the carbon dioxide itself.\nNew equipment known as VTS (valveless trocar system) is available which claims to make it easier for the surgeon to see to do the surgery and therefore allows the pressure in the tummy to be reduced. This is better for both the patient and the surgeon.\nIn order to assess the VTS a trial will have to be carried out in the future to compare surgery using it and surgery using the current equipment. Before this is possible, it is necessary firstly to identify what can be measured and compared using the two methods, and then to do a small pilot study\nThe present study is to identify what measurements can be collected during the keyhole surgery.\n
REC name
Wales REC 1
REC reference
16/WA/0070
Date of REC Opinion
30 Mar 2016
REC opinion
Further Information Favourable Opinion