NCT04761536

Volume-outcome Relationship in Rectal Cancer Surgery

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 187 (actual)
• Sponsor: University of Rome Tor Vergata · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Hospital centralization effect is reported to lower complications and mortality especially for high risk and complex general surgery operations, including colorectal surgery. However, no linear relation between volume and outcome has been demonstrated. Aim of the study was to evaluate the increased surgical volume effect on early outcomes of patient undergoing restorative anterior rectal resection (ARR).

Conditions

• Rectal Cancer
• Anastomotic Leak Rectum

Interventions

Type	Name	Description
OTHER	Rectal cancer case centralization	In November 2016, the decision to centralize rectal cancer patients to only one surgical unit was taken, with only two surgeons performing the procedures. Furthermore, a close collaboration with local Gastroenterology Units and General Practiotioners was started in order to increase colorectal cancer case referral to our unit. At the same time, we decided to promote the use of laparoscopy and to implement ERAS protocol in our colorectal surgery practice.

Timeline

• Start date: 2006-01-01
• Primary completion: 2020-12-01
• Completion: 2021-01-31
• First posted: 2021-02-21
• Last updated: 2021-02-21