Status:

COMPLETED

Endo-Laparoscopic Approach Versus Conventional Open Surgery in Obstructing Left-sided Colon Cancer: RCT

Lead Sponsor:

Pamela Youde Nethersole Eastern Hospital

Conditions:

Colonic Neoplasms

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Objective: Whether temporary endoscopic decompression by Self-expanding metal stents (SEMS) could allow these patients to undergo successful laparoscopic resection (endo-laparoscopic approach) has nev...

Detailed Description

Introduction: First reported in 1991, laparoscopic assisted colectomy is increasingly practised world-wide. Abundant evidence exists in the literature suggesting laparoscopic assisted colectomy, when...

Eligibility Criteria

Inclusion

  • Consecutive adult patients (aged 18 or above) presenting with clinical features of left colonic obstruction were potential candidates.
  • In the absence of peritonitis, right lower quadrant tenderness or grossly distended caecum (10cm or above in maximal dimension) on plain abdominal radiograph, an urgent water-soluble single contrast enema was performed to determine the level of obstruction within 24 hours of admission.
  • Patients were recruited if the lower border of an obstructing tumour was found between the splenic flexure and rectosigmoid junction.
  • Informed consent was obtained from every patient recruited in the trial.

Exclusion

  • Patients who did not give informed consent
  • Patients who were considered unfit for operative treatment
  • Patients with previous laparotomy
  • Patients with clinically palpable tumor on abdominal examination.

Key Trial Info

Start Date :

January 1 2002

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2007

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT00654212

Start Date

January 1 2002

End Date

December 1 2007

Last Update

May 5 2015

Active Locations (1)

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Pamela Youde Nethersole Eastern Hosptial

Hong Kong, Hong Kong