[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100608506":3},{"organization":4,"armGroups":7,"interventions":8,"overallOfficials":7,"centralContacts":13,"locations":19,"responsibleParty":37,"collaborators":7,"id":39,"slug":40,"hasResults":41,"nctId":42,"briefTitle":43,"officialTitle":44,"acronym":7,"eligibilityCriteria":45,"healthyVolunteers":41,"sex":46,"minAge":47,"maxAge":7,"enrollmentInfo":48,"targetDuration":7,"studyType":51,"phases":7,"briefSummary":52,"conditions":53,"keywords":7,"overallStatus":55,"whyStopped":7,"lastUpdateSubmitDate":56,"lastUpdatePostDateStruct":57,"startDateStruct":60,"completionDateStruct":62,"leadSponsor":64,"locationsCount":65},{"fullName":5,"class":6},"Centre Hospitalier Universitaire de Nice","OTHER",null,[9],{"type":10,"name":11,"description":12,"armGroupLabels":7,"otherNames":7},"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 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.",[14],{"name":15,"role":16,"phone":17,"phoneExt":7,"email":18},"Damien Massalou","CONTACT","Massalou","massalou.d@chu-nice.fr",[20],{"facility":21,"status":7,"city":22,"state":23,"zip":24,"country":25,"countryCode":26,"cosmosGeoPoint":27,"geoPoint":32,"contacts":33},"CHU de NICE","Nice","Alpes Maritimes","06000","France","FR",{"type":28,"coordinates":29},"Point",[30,31],7.26608,43.70313,{"lat":31,"lon":30},[34],{"name":15,"role":16,"phone":35,"phoneExt":36,"email":18},"04 92 03 22 63","+ 33",{"type":38,"investigatorFullName":7,"investigatorTitle":7,"investigatorAffiliation":7,"oldNameTitle":7,"oldOrganization":7},"SPONSOR","100608506","robotic-emergency-general-surgery-program-100608506",false,"NCT07202442","Robotic Emergency General Surgery Program","Beginning of Robotic Emergency General Surgery Program at Nice University Hospital","Inclusion Criteria:\n\n* Acute cholecystitis with predictors of intraoperative difficulty.\n* Bowel obstruction requiring bowel resection (in presence of CT signs of visceral compromise: poor enhancement of bowel loops, pneumoperitoneum).\n* Complicated acute diverticulitis with perforation and peritonitis.\n* Penetrating abdominal trauma with hemodynamic stability requiring surgery (e.g., bowel resection-anastomosis).\n* Right or left colectomy for other etiologies.\n* Splenectomy in hemodynamically stable or embolized patients.\n\nExclusion Criteria:\n\n* Hemodynamic instability.\n* Uncomplicated acute appendicitis.\n* Acute cholecystitis without predictors of intraoperative difficulty.","ALL","18 Years",{"count":49,"type":50},30,"ESTIMATED","OBSERVATIONAL","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.",[54],"Emergency General Surgery","NOT_YET_RECRUITING","2025-09-29",{"date":58,"type":59},"2025-10-01","ACTUAL",{"date":61,"type":50},"2026-01-01",{"date":63,"type":50},"2027-12-31",{"name":5,"class":6},1]