Robotic Inflammatory bowel Disease Development, Learning and Efficacy Study (RIDDLE)

Study Updates

The RIDDLE Study is open to recruitment at University Hospitals Coventry, Guys Hospital and St Marks, London, John Radcliffe Hospital and in set-up at 2 other sites in England. The planned end date is currently June 2026.

For Enquiries:

Tel: 02476 966581                                                                          Email: riddlestudyoffice@uhcw.nhs.uk

Participating Sites

Study Information

Chief Investigator & Team

Chief Investigator: Miss Abi Patel

Lead Coordinator: Mani Thind

Sponsor

University Hospitals Coventry and Warwickshire NHS Trust

Aim

To determine if robotic surgery can be performed for IBD patients, to ascertain the optimal robotic set up for multi-quadrant IBD operations and evaluate clinical outcomes in robotic compared to laparoscopic surgery.

Study Design

Multicentre, prospective, observational cohort study

Speciality

Colorectal Surgery

Summary

This study is looking at the use of keyhole surgery for patients who have inflammatory bowel disease, including both Crohn’s disease and Ulcerative Colitis. There are two types of keyhole surgeries: laparoscopic and robotic surgery. In laparoscopic surgery, the surgeon inserts instruments through small incisions and will move these instruments themselves to do the operation. In robotic surgery, these instruments are inserted through similar small incisions, but they are mounted onto robotic arms. The surgeon sits away from the patient and uses remote equipment to move the robotic arms and do the operation. In current practice the surgeon will decide to use either robotic or laparoscopic equipment for your surgery. Robotic surgery is becoming more popular and may help the surgeon carry out more challenging operations with small incisions.

Most of the studies that have looked at robotic surgery have focussed on cancer operations. Only a few studies have been done in patients with inflammatory bowel disease where the surgery can be difficult and unpredictable. There is also very little information available on:

  • If all patients with inflammatory bowel disease can have robotic surgery
  • How robotic surgery affects a patient’s recovery.

This study is designed to record all keyhole procedures performed in multiple different hospitals for inflammatory bowel disease over a 12-month period. The details of the operation and how patients recover after the surgery will be recorded.

Planned Start Date

01 May 2024

Planned Duration

12 months

Target Sample Size

150

Results

Results will be published once the study has completed and all data analysed.