Title
Trial of Antibiotic Prophylaxis in Elective Laparoscopic Colorectal Surgery: Oral and Systemic Versus Systemic Antibiotics
Randomized Controlled Trial of Antibiotic Prophylaxis in Elective Laparoscopic Colorectal Surgery: Oral and Systemic Versus Systemic Antibiotics
Phase
Phase 3Lead Sponsor
Japan Multinational Trial OrganizationStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Colorectal NeoplasmsIntervention/Treatment
metronidazole cefmetazole kanamycin ...Study Participants
584The purpose of this study is to determine optimal prophylactic antibiotics administration method in elective laparoscopic colorectal surgery.
The use of antibiotic prophylaxis in patients who undergo elective colorectal surgery is now accepted universally. But the rout of administration should be systematic, oral, or both is controversial. Furthermore, although many trails have been performed, no trial limited to laparoscopic surgery is performed. We compare 2 approaches - oral and systemic versus systemic antibiotic prophylaxis - in limited to elective laparoscopic colorectal surgery.
Intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery
2 doses of oral kanamycin(1g)/ metronidazole(750mg) administration on the day before surgery with intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery
Intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery
2 doses of oral kanamycin(1g)/ metronidazole(750mg) administration on the day before surgery with intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery
Inclusion Criteria: Colorectal tumor(cancer, adenoma and suspected cases) with planned elective laparoscopic colorectal resection Exclusion Criteria: ECOG Performance Status >=2 Age<20 Any organ dysfunction Ileus Preoperative infectious disease Antibiotic administration before surgery Steroid administration before surgery Neo-adjuvant radiation and/or chemo therapy Severe diabetes mellitus Pregnancy/lactational woman Severe allergy