Clinical trial Recruiting at 4 sites Observational Ages 18 and up

Leakage risk after ileo-colic sutures using MonoPlus® following right hemicolectomy

Official title: Assessment of the Leakage Rate of Ileo-colic Sutured Anastomoses Using a Polydioxanone Based Suture Material After Laparoscopic or Open Right Hemicolectomy to Treat Malignancy

Run by Aesculap AG · NCT07132970 · Data updated 2026-11-12

This will try MonoPlus® suture material for ileo-colic anastomosis in adults having elective right hemicolectomy for colon cancer to see if the 30-day leakage rate is not higher than published rates.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment249 (estimated)
SponsorAesculap AG
Industry-sponsored
Locations4 sites (Göppingen, Baden-Wurttemberg and 3 other locations)
StatusRecruiting
StartedJanuary 26, 2026
Main results expectedJuly 2027
Study endsMarch 2028
Registry record updatedJune 9, 2026
Trial IDNCT07132970 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with right-sided colon cancer scheduled for elective right hemicolectomy who will receive a primary ileo-colic anastomosis without a protective stoma are eligible.

Probably not a fit

Patients undergoing emergency surgery, those requiring a stoma, with inflammatory bowel disease, prior bowel resections, re-operation on an anastomosis, or peritoneal carcinomatosis are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational multicenter project enrolls adults undergoing elective right hemicolectomy with primary ileo-colic anastomosis constructed using MonoPlus® suture material. Patients may have open or laparoscopic procedures and either fully hand-sewn or partially sutured anastomoses, while emergency cases, those needing a stoma, and patients with peritoneal carcinomatosis are excluded. The primary outcome is anastomotic leakage within 30 days after surgery, compared against leakage rates reported in the literature to test non-inferiority. Perioperative details, surgical technique, and 30-day clinical follow-up are collected at participating German hospitals.

Why it matters

Potential benefit: If results show non-inferiority, this could support MonoPlus® as a safe suture option for ileo-colic anastomoses and reduce uncertainty about short-term leak risk after right hemicolectomy.

How similar studies have gone: Prior observational and comparative studies report ileo-colic leak rates around 1–10% and various suturing techniques have produced broadly comparable outcomes, so applying a specific MonoPlus® material is a focused but not wholly novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients undergoing a primary, elective either open or laparoscopic right hemicolectomy or right extended hemicolectomy due to malignancy with the creation of an intracorporeal or extracorporeal ileo-colic anastomosis.
* Either complete hand-sewn anastomosis or partial sutured anastomosis (e.g. combination of stapling and suturing)
* Open or laparoscopic as well as conversion from open to laparoscopic surgery
* Absence of peritoneal carcinomatosis
* Absence of vascular, nervous or bone infiltration
* Age ≥ 18 years
* Written data protection declaration (Written Informed consent)

Exclusion Criteria:

* Left hemicolectomy or left extended hemicolectomy or sigma resection
* Inflammatory bowel disease (e.g. Crohn´s disease)
* Emergency surgery
* Previous abdominal surgery with bowel resection
* Re-operation of an anastomosis (anastomosis revision surgery)
* Need for stoma creation
* Non-compliant patients
* Participation in an interventional randomized controlled study (RCT)

Where it's running

  • Alb-Fils-Klinikum Göppingen, Dept. General Surgery
    Göppingen, Baden-Wurttemberg, Germany
    Recruiting
  • Diakonie-Klinikum Landkreis Schwäbisch Hall, Dept. General Surgery
    Schwäbisch Hall, Baden-Wurttemberg, Germany
    Recruiting
  • Städtisches Klinikum Lüneburg, Dept. General Surgery
    Lüneburg, Lower Saxony, Germany
    Recruiting
  • AGAPLESION ELISABETHENSTIFT, Klinik für Allgemein- und Viszeralchirurgie
    Darmstadt, Germany
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.