Status:

COMPLETED

Transanal Total Mesorectal Excision Versus Laparoscopic TME for Rectal Cancer

Lead Sponsor:

Third Military Medical University

Conditions:

Rectal Neoplasms

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

To investigates the feasibility, practicability, safety and subjective as well as functional outcome of transanal minimal invasive surgery toal mesentery excision for rectal cancer.

Detailed Description

Natural orifice transluminal endoscopic surgery (NOTES) give the opportunity to reduce surgical access trauma leading to a more painless surgery and enhancing a fast postoperative recovery. Experience...

Eligibility Criteria

Inclusion

  • Biopsy-proven adenocarcinoma of the rectum
  • Eligible to undergo conventional laparoscopic low anterior resection or transanal hybrid-laparoscopic low anterior resection with or without a temporary diverting stoma
  • Node negative (N0), T1 (high risk features), T2 and T3 rectal cancer on pelvic MRI
  • Closest distance between tumor edge and mesorectal fascia 5mm or more based on pelvic MRI
  • Rectal cancer located 3-10 cm from the anal verge

Exclusion

  • Metastasis
  • Obstructing rectal cancer
  • Synchronous colon cancer
  • T4 rectal cancer not treated preoperatively with full-course chemoradiation
  • Pregnant or breast-feeding
  • Receiving any other study agents
  • Fecal incontinence
  • History of prior colorectal cancer
  • History of inflammatory bowel disease
  • History of pelvic radiation
  • BMI \> 40
  • Large uterine fibroids
  • Uncontrolled intercurrent illness

Key Trial Info

Start Date :

October 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2020

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT02252250

Start Date

October 1 2014

End Date

November 1 2020

Last Update

November 27 2023

Active Locations (1)

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1

Daping hospital

Chongqing, Chongqing Municipality, China, 400042