Status:
UNKNOWN
Laparoscopic Right Hemicoloectomy for Right Colon Cancer With a Medial-to-lateral Approach Orientated by SMA or SMV
Lead Sponsor:
The First Affiliated Hospital with Nanjing Medical University
Conditions:
Right Colic Lymphadenopathy
Eligibility:
All Genders
18-85 years
Phase:
PHASE2
PHASE3
Brief Summary
A randomized controlled clinical trial to compare the outcomes of SMA- and SMV- orientated laparoscopic right hemicoloectomy for right colon cancer with a medial-to-lateral approach
Detailed Description
In 2008, Germany scholar W. Hohenberger proposed the idea of complete mesocolic excision (CME) and central vascular ligation (CVL) for the standardization of colonic cancer surgery. This concept has b...
Eligibility Criteria
Inclusion
- Patients suitable for curative surgery between 18 - 85 years old;
- American Society of Anesthesiologists(ASA) grade I-III;
- Preoperative pathological diagnosis of adenocarcinoma;
- Tumor located at the right colon;
- Informed consent;
- No history of familial adenomatous polyposis, ulcerative colitis or Crohn's disease.
Exclusion
- Pregnant patient;
- History of psychiatric disease;
- Use of systemic steroids;
- Simultaneous multiple primary colorectal cancer;
- Preoperative enhanced CT scan of chest, abdominal and pelvic cavity shows:
- Tumor involves the surrounding organs and combined organ resection needed to be done;
- distant metastasis;
- unable to perform R0 resection;
- History of any other malignant tumor in recent 5 years;
- Patients need emergency operation: mechanic ileus, perforation.
- Not suitable for laparoscopic surgery (i.e., extensive adhesion caused by abdominal surgery, not suitable for artificial pneumoperitoneum, etc).
- Conversion from laparoscopic surgery to laparotomy;
Key Trial Info
Start Date :
January 1 2018
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 1 2023
Estimated Enrollment :
200 Patients enrolled
Trial Details
Trial ID
NCT03329495
Start Date
January 1 2018
End Date
January 1 2023
Last Update
November 6 2017
Active Locations (1)
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1
Jiangsu province hospital
Nanjing, Jiangsu, China, 210029