Clinical Assessment of Laparoscopic and Robotic Surgery for Rectal Cancer - Randomized Phase II Trial
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Rectal Neoplasm
- Sponsor
- National Cancer Center, Korea
- Enrollment
- 146
- Locations
- 1
- Primary Endpoint
- Quality of mesorectal excision
- Last Updated
- 13 years ago
Overview
Brief Summary
After introducing minimally invasive surgery, robotic surgery has been increasingly used in colorectal cancer. However, there is a few prospective study for robotic surgery. The aim of this trial is to evaluate the effectiveness and safety of robotic surgery in mid or low rectal cancer.
Detailed Description
This study was designed as randomized phase II trial (laparoscopic versus robotic). The primary end point is quality of mesorectal excision.
Investigators
Ji Won Park
Principal Investigator
National Cancer Center, Korea
Eligibility Criteria
Inclusion Criteria
- •mid or low rectal cancer (within 9cm from anal verge)
- •pathologically proven as adenocarcinoma
- •written informed consent
- •no severe functional disability in lung and heart
Exclusion Criteria
- •invading adjacent organ
- •distant metastasis (lung, liver, brain, bone, distant lymph nodes etc.)
- •lateral pelvic lymph node metastasis
- •Have severe concomitant disease that might limit compliance or completion of the protocol.
- •Have any other malignancy that might impact 5-year survival or might be potentially confused with rectal cancer.
- •If female, be pregnant or breast feeding.
- •Hereditary colorectal cancer (HNPCC, FAP etc)
- •emergency operation
Outcomes
Primary Outcomes
Quality of mesorectal excision
Time Frame: 7days after surgery (Pathologic report)
Evaluating the quality of mesorectal excision in rectal specimen according to the criteria suggested by Nagtegaal ID, et al. (J Clin Oncol. 2002;20:1729-34)
Secondary Outcomes
- Short-term postoperative outcome(Within postoperative 30 days)
- Sexual and urinary function, Quality of life, Anorectal function(Baseline, postop 3 weeks, 3months, 12 months, 24 months, 36 months)
- Long-term outcome(Postoperative 36 months)