MedPath

oCAlly advanced and recurrent Rectal cancer NAVigationAL Surgery – A Pilot Study (CARNAVAL)

Conditions
ocally advanced and recurrent rectal cancer
Registration Number
NL-OMON28183
Lead Sponsor
ot applicable
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
5
Inclusion Criteria

1.Male or female
2.Age = 18 years
3.Primary cT4abN0-2 rectal cancer or recurrent rectal cancer with an indication for resection after neoadjuvant treatment
4.Lithotomy position during the whole procedure
5.Laparoscopic approach
6.Laparotomic approach
7.Informed consent (addendum V)

Exclusion Criteria

1.Threatened anterior circumferential resection margin negated through the performance of a (posterior) pelvic exenteration
2.Tumor involvement sacrum cranial to the junction of S2/S3 and cT4b
3.Tumor involvement of common or external iliac artery/vein
4.Tumor involvement of hypogastric artery bilaterally
5.Tumor involvement of the lumbosacral plexus, sacral nerve 1, sacral nerve 2 or sacral nerve 3
6.Patient operated in semi-elective or acute setting
7.Inclusion in another study (randomised clinical trial)
8.Patient classified as American Society of Anaesthesiologist Class ? 4
9.Patient is unable to speak Dutch
10.Legally incapable

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary study parameter is the accuracy of stereotactic navigation defined by the distance between the corresponding location in the scan when the four anatomical landmarks are pointed out by the surgeon by means of a tracked instrument and the actual location of this anatomical landmark in the scan that is marked pre-operatively.
Secondary Outcome Measures
NameTimeMethod
The pathological radicality of the resection as a dichotomous variable: R0 or R1/R2 resection
© Copyright 2025. All Rights Reserved by MedPath