Safety and Efficacy of One Dose Prophylactic Antibiotic in Laparoscopic Colorectal Surgery

NCT ID: NCT01220661

Last Updated: 2011-12-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

312 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2011-12-31

Brief Summary

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In colorectal surgery, the use of prophylactic antibiotics is recommended. The standard use of antibiotics for colorectal surgery is three doses.

It has been reported that the surgical site infection rates of laparoscopic colorectal surgery are lower than open colorectal surgery. However, the evidence of proper application of antibiotic for laparoscopic colorectal surgery is still not enough.

The investigators are researching the efficacy and safety of one dose prophylactic antibiotic in laparoscopic colorectal surgery.

Detailed Description

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In colorectal surgery, the use of prophylactic antibiotics is recommended. The standard use of antibiotics for colorectal surgery is three doses.

One randomized controlled study reported that surgical site infection rates of three doses prophylactic antibiotics are lower than those of one dose in colorectal surgery (4.3 versus 14.2%). But, surgical site infection rates between one dose and three doses were not different in laparoscopic subgroup of this study (11 versus 11%)

It has been reported that the surgical site infection rates of laparoscopic colorectal surgery are lower than open colorectal surgery. However, the evidence of proper application of antibiotic for laparoscopic colorectal surgery is still not enough.

The investigators are researching the efficacy and safety of one dose prophylactic antibiotic in laparoscopic colorectal surgery.

Conditions

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Colorectal Surgery

Keywords

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Colorectal Surgery Surgical Wound Infection Laparoscopy Anti-Bacterial Agents

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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One dose

One dose prophylactic antibiotic

Group Type EXPERIMENTAL

Cefotetan

Intervention Type DRUG

preoperative one dose prophylactic antibiotic (2g iv, within 1 hour before skin incision)

Interventions

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Cefotetan

preoperative one dose prophylactic antibiotic (2g iv, within 1 hour before skin incision)

Intervention Type DRUG

Other Intervention Names

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Yamatetan

Eligibility Criteria

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Inclusion Criteria

* Patients have laparoscopic colorectal surgery for cancer at National Cancer Center
* Patients should sign a written informed consent
* Age between 18-80 years
* Adequate bone marrow function Hb ≥ 10g/dl (after treatment for simple iron deficiency anemia) WBC ≥ 3,000/mm3 PLT ≥ 100,000/mm3
* Adequate kidney function Creatinine ≤ 1.5 mg/dl
* No remarkable evidence of heart dysfunction and lung dysfunction

Exclusion Criteria

* Patients undergo emergency surgery with multiple symptoms
* Open colorectal surgery for cancer or conversion to an open procedure
* Patients who undergo only ostomy surgery
* Palliative surgery
* Surgery combined with other organs
* Patients on treatment with recurred cancer
* Patients who have active bacterial infection and required parenteral antibiotics
* Patients have an allergy to Cefoxitin
* Other organ cancer history(except who had radical excision for skin cancer)
* Presence of other serious disease
* Mentally ill patients
* Legally unable to participate in clinical trial
* Lactating or pregnant women
* Patients who will obviously fail to regular follow-up visit or will be off study voluntarily
* Not eligible to participate for other reasons by doctor's decision
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Center, Korea

OTHER_GOV

Sponsor Role lead

Responsible Party

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Ji Won Park

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jae Hwan Oh

Role: PRINCIPAL_INVESTIGATOR

Center for Colorectal Cancer, National Cancer Center Korea

Locations

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National Cancer Center Hospital

Goyang-si, Gyeonggi-do, South Korea

Site Status

Countries

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South Korea

Other Identifiers

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NCCCTS-10-485

Identifier Type: -

Identifier Source: org_study_id