An Assessment of Goal-Directed Intraoperative Fluid Management in Hand Assisted Laparoscopic Colectomy
An Assessment of Goal-Directed Intraoperative Fluid Management in Hand Assisted Laparoscopic Colectomy
The purpose of this study is to find out if guided fluid administration with the esophageal
 monitor is superior to standard fluid administration and whether use of the hetastarch or
 lactated ringers offers different benefits with respect to length of stay in the hospital
 after hand-assisted colorectal surgery.
Inclusion Criteria:

 1. Diagnoses of Crohn's disease, ulcerative colitis, rectal or colon cancer, colon or
 rectal polyps and chronic or subacute diverticulitis

 2. Subjects who will undergo hand-assisted laparoscopic colectomy for benign or malignant
 pathology

 Exclusion Criteria:

 1. Patients requiring stoma formation as part of the operative procedure

 2. Patients undergoing loop ileostomy or colostomy closure thru the stomal site

 3. Bowel obstruction, coagulopathy, significant renal or hepatic dysfunction (creatinine
 >1.6 or liver enzymes > 50% upper limit of normal values)

 4. Congestive heart failure, unstable angina, or valvular heart disease with New York
 Heart Classification >2