RecruitingNot ApplicableNCT04576533

Patients Undergoing Laparoscopic Colorectal Surgery Walk Out From Operating Room After Surgery ( WOFOR-C1 )

Effects of Walking Out From Operating Room on Postoperative Recovery of Patients Undergoing Laparoscopic Colorectal Surgery

Sponsor

Sixth Affiliated Hospital, Sun Yat-sen University

Enrollment

300 participants

Start Date

Nov 1, 2020

Study Type

INTERVENTIONAL

Conditions

Enhanced Recovery After Surgery

Summary

Early mobilization is considered as an important strategy to enhance postoperative recovery. However, direct association between very early mobilization and improved recovery needs randomized control trials to prove. This study proposes the program of walking out from operating room (WOFOR) after surgery, which means that encouraging patients to walk out from the operating room and return to the ward by walking under the condition of painlessness, clear consciousness and normal muscle strength of lower limb. The aim of this randomized controlled trial is to investigate the effect of WOFOR on the postoperative recovery of patients undergoing laparoscopic colorectal surgery.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria3

\. Age 18-65 Years old
\. scheduled for laparoscopic colectomy or laparoscopic rectectomy surgery (Dixon technique)
\. American Society of anesthesiology (ASA) grade I or grade II

Exclusion Criteria8

\. Patients have severe cardiac diseases (cardiac function grading greater than grade 3/arrhythmia including sick sinus syndrome, atrial fibrillation, atrial flutter, atrioventricular block, frequent ventricular premature, multiple ventricular premature, ventricular premature R on T, ventricular fibrillation and ventricular flutter/acute coronary syndrome) or respiratory failure or hepatic failure or renal failure;
\. Patients with poor blood glucose control (glycosylated hemoglobin\>7%);
\. Patients with poor blood pressure control (receive regular antihypertensive medical treatment but still have systolic blood pressure \> 150 mmHg and/or diastolic blood pressure \> 90 mmHg );
\. Patients have schizophrenia, epilepsy, Parkinson's disease, mental retardation, or hearing impairment.
\. Patients have thrombosis such as in lower extremity or in other veins.
\. Patients have neuromuscular disorders affecting lower limb activity, such as myasthenia gravis and cerebral infarction, which cause lower limb muscle weakness;
\. Patients have contraindications for epidural puncture.
\. Patients refuse to sign informed consent for research.

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Interventions

BEHAVIORALwalk out from operating room

After the surgery of laparoscopic colectomy or laparoscopic rectectomy surgery (Dixon technique), patients will be encouraged to walk out from the operating room and return to the ward by walking under the condition of stable physiological parameters, painlessness, clear consciousness and normal muscle strength of lower limb