Low Impact Laparoscopic in Colorectal Resection: a Randomized Trial Comparing Low Pneumoperitoneum Pressure Plus Microsurgery Versus Low Pneumoperitoneum Alone
To improve post-operative recovery, the concept of Low Impact Laparoscopy was developed in colo-rectal surgery with associating low-pressure pneumoperitoneum and microlaparoscopic surgery. A phase III double-blind, prospective, randomized, controlled, multi-centric trial is designed in the aim to assess the impact of low-pressure pneumoperitoneum with microlaparoscopic instruments on post-operative pain at 24 hours without taking opioids. It is compared with low-pressure laparoscopy with classical laparoscopic instruments in patients undergoing colorectal surgeries.
• Scheduled colectomy for malignant or benign pathology
• Right colon: ileocecal resection, right colectomy, right colectomy extended to the middle of the transverse
• Left colon: sigmoidectomy, left colectomy
• Rectal resection without stoma for cancer of the upper rectum
• Patient operable by laparoscopy (classic or robot assisted for the Standard group)
• Age ≥ 18 years old
• Patient affiliated to a social security system or beneficiary of the same
• Informing the patient and obtaining free, informed and written consent, signed by the patient and his investigator