CompletedNot Applicable

Laparoscopic IIeocecus-Sparing Right Hemicolectomy for Cancer of the Hepatic Flexure and Proximal Transverse Colon

China30 participantsStarted 2020-01-01

Plain-language summary

To investigate whether laparoscopic ileocecus-sparing right hemicolectomy is feasible and oncologically safe

Age range18 Years – 75 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

✓. Patients suitable for curative surgery 18-75years old
✓. ASA grade I-III
✓. Qualitative diagnosis: a pathological diagnosis of adenocarcinoma;
✓. Localization diagnosis: the tumor located at hepatic flexure and proximal transverse colon(proximal to the right branch of middle colic artery);
✓. Enhanced CT scan of chest, abdominal and pelvic cavity: assessment of tumor stage is T1-T4N0 or TanyN+; there is no distant metastasis.
✓. Intraoperative measurement: the distance between colic branch of ileocolic artery and proximal edge of the tumor should be longer than 5cm.
✓. Informed consent

✕. Simultaneous or metachronous multiple primary colorectal cancer;
✕. History of familial adenomatous polyposis, ulcerative colitis or Crohn's disease.
✕. Preoperative imaging examination results show: fused lymph node at the root of ileocolic artery.
✕. Distant metastasis.
✕. History of any other malignant tumor in recent 5 years.
✕. Patients need emergency operation.
✕. Not suitable for laparoscopic surgery (i.e., extensive adhesion caused by abdominal surgery, not suitable for artificial pneumoperitoneum, etc).
✕. Informed consent refusal

Postoperative complications

Timeframe: up to 90 days after surgery

1-year local recurrence

Timeframe: 7 days after surgery

NCT IDNCT04479111

SponsorZhejiang University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2022-12-30

Who can participate

Age range18 Years – 75 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

✓. Patients suitable for curative surgery 18-75years old
✓. ASA grade I-III
✓. Qualitative diagnosis: a pathological diagnosis of adenocarcinoma;
✓. Localization diagnosis: the tumor located at hepatic flexure and proximal transverse colon(proximal to the right branch of middle colic artery);
✓. Enhanced CT scan of chest, abdominal and pelvic cavity: assessment of tumor stage is T1-T4N0 or TanyN+; there is no distant metastasis.
✓. Intraoperative measurement: the distance between colic branch of ileocolic artery and proximal edge of the tumor should be longer than 5cm.
✓. Informed consent

✕. Simultaneous or metachronous multiple primary colorectal cancer;
✕. History of familial adenomatous polyposis, ulcerative colitis or Crohn's disease.
✕. Preoperative imaging examination results show: fused lymph node at the root of ileocolic artery.
✕. Distant metastasis.
✕. History of any other malignant tumor in recent 5 years.
✕. Patients need emergency operation.
✕. Not suitable for laparoscopic surgery (i.e., extensive adhesion caused by abdominal surgery, not suitable for artificial pneumoperitoneum, etc).
✕. Informed consent refusal