Robotic Emergency General Surgery Program
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Emergency General surgery patients with robotic approach for the surgery.
- Who it may be relevant to
- Registry conditions: Emergency General Surgery. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Beginning of Robotic Emergency General Surgery Program at Nice University Hospital
Overview
Background Abdominal surgical emergencies account for 20-30% of visceral surgery procedures. However, these emergencies are responsible for more than half of the morbidity in our discipline, with a surgical site infection rate four times higher than in elective surgery, and significantly higher rates of surgical revision and conversion (PMID: 34225343 and 27016997 and 27120712). In cases where minimally invasive surgery is converted to laparotomy, patients are three times more likely to be admitted to critical care units (PMID: 39966134). Visceral surgery currently represents the largest and fastest-growing discipline in robotic surgery. Robotic management of emergency general surgery has been described in the literature for several years, particularly in the United States. Robotic surgery allows a shift from open procedures to minimally invasive techniques or simplifies complex laparoscopic procedures. Several literature reviews and meta-analyses report decreased laparotomy rates, reduced perioperative morbidity, and shorter average length of hospital stay (PMID: 38446451 and 38918109). Abdominal surgical emergencies account for 20-30% of visceral surgery procedures. However, these emergencies are responsible for more than half of the morbidity in our discipline, with a surgical site infection rate four times higher than in elective surgery, and significantly higher rates of surgical revision and conversion (PMID: 34225343 and 27016997 and 27120712). In cases where minimally invasive surgery is converted to laparotomy, patients are three times more likely to be admitted to critical care units (PMID: 39966134). Visceral surgery currently represents the largest and fastest-growing discipline in robotic surgery. Robotic management of emergency general surgery has been described in the literature for several years, particularly in the United States. Robotic surgery allows a shift from open procedures to minimally invasive techniques or simplifies complex laparoscopic procedures. Several literature reviews and meta-analyses report decreased laparotomy rates, reduced perioperative morbidity, and shorter average length of hospital stay (PMID: 38446451 and 38918109).Primary Objective:To assess the implementation of a robotic surgery program for emergency visceral procedures (proof of feasibility in our university hospital). Secondary Objectives: Reduce perioperative morbidity, Reduce the rate of laparotomy, Reduce the average length of hospital stay (LOS), Reduce postoperative admission to critical care, Reduce operative time.
Interventions
- Procedure Emergency General surgery patients with robotic approach for the surgery
vPrimary Endpoint: The proportion of procedures performed robotically versus laparoscopically or via laparotomy for selected indications. Secondary Endpoints: A 5% change in perioperative morbidity, laparotomy rate, LOS, critical care admission rate, and operative time. Included Pathologies (for patients eligible for laparoscopy) : Acute cholecystitis with predictors of intraoperative difficulty. Bowel obstruction requiring bowel resection (in presence of CT signs of visceral compromise: poor en
Primary outcome measures
- Implementation of a robotic surgery program for emergency visceral procedures [Time frame: Postoperative day 30]
Secondary outcome measures (5)
- Evaluating robotic general emergencies procedures (Change perioperative morbidity) [Time frame: Postoperative day 30.]
- Evaluating robotic general emergencies procedures (Change the rate of laparotomy) [Time frame: Postoperative day 30]
- Evaluating robotic general emergencies procedures (Change the average length of hospital stay ) [Time frame: Postoperative day 30]
- Evaluating robotic general emergencies procedures (Change postoperative admission to critical care) [Time frame: Postoperative day 30]
- Evaluating robotic general emergencies procedures (Change operative time) [Time frame: Postoperative day 30]
Eligibility criteria
Inclusion criteria
- Acute cholecystitis with predictors of intraoperative difficulty.
- Bowel obstruction requiring bowel resection (in presence of CT signs of visceral compromise: poor enhancement of bowel loops, pneumoperitoneum).
- Complicated acute diverticulitis with perforation and peritonitis.
- Penetrating abdominal trauma with hemodynamic stability requiring surgery (e.g., bowel resection-anastomosis).
- Right or left colectomy for other etiologies.
- Splenectomy in hemodynamically stable or embolized patients.
Exclusion criteria
- Hemodynamic instability.
- Uncomplicated acute appendicitis.
- Acute cholecystitis without predictors of intraoperative difficulty.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
France · 1 center
- CHU de NICE — Nice
Identifiers
NCT: NCT07202442 · 25Urgences01