Actively Recruiting

Age: 18Years +
All Genders
NCT07272928

Comparison of the Resection Site Order in Simultaneous Approach of Colorectal Liver Metastasis

Led by Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo di Alessandria · Updated on 2025-12-09

500

Participants Needed

1

Research Sites

78 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Colorectal cancer frequently presents with liver metastases, and complete removal of both primary and liver tumors can significantly improve survival. Simultaneous resection (SA) of the colon and liver is increasingly used and is considered safe when minor liver resections are performed, offering advantages such as shorter hospitalization, fewer complications, and faster chemotherapy initiation. However, the best sequence of resection, liver-first or colon-first, remains uncertain, as each has potential benefits and drawbacks, particularly regarding anastomotic healing. Minimally invasive approaches to SA show similar outcomes to open surgery, though limited data suggest that resection order may affect blood loss.

CONDITIONS

Official Title

Comparison of the Resection Site Order in Simultaneous Approach of Colorectal Liver Metastasis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult patients diagnosed with colorectal cancer with synchronous liver metastases during the reference period who underwent simultaneous resection.
Not Eligible

You will not qualify if you...

  • Simultaneous emergency resection due to symptoms of the primary tumor.
  • Presence of extrahepatic metastatic disease confirmed at the time of resection or diagnosis.
  • High surgical risk defined as an ASA risk score greater than 3.
  • Fewer than 10 cases performed by the invited center during the study period.
  • Incomplete data or follow-up of less than 6 months.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

SC Chirurgia Generale

Alessandria, Piedmont, Italy, 15121

Actively Recruiting

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Research Team

C

Clinical Trial Center

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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