Trial to Evaluate Laparoscopy-assisted Nerve-preserved Total Mesorectal Excision (LNTME) Versus Open TME for Rectal Cancer
Phase 2
- Conditions
- Rectal Cancer
- Registration Number
- NCT02830633
- Lead Sponsor
- Anhui Medical University
- Brief Summary
The purpose of this study is to determine: (1) whether laparoscopy-assisted nerve-preserved total mesorectal excision (LNTME) is as safe as open TME for rectal cancer, and (2) whether LNTME is more effective for protection of pelvic autonomic nerve function from surgical impairing when comparing to open TME.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Male
- Target Recruitment
- 80
Inclusion Criteria
- Male patients
- From 18 years old to 60 years old
- Normal sexual function
- Tumor located in rectum (defined as 5- to 12-cm from the anal verge)
- Pathological confirmed rectal cancer
- Preoperative T stage ranging from T1 to T4a according to the 7th Edition of AJCC Cancer Staging Manual
- Tumor size < 5 cm
- ASA score was I-II
- Informed consent was written
Exclusion Criteria
- Distant cancer metastasis
- History of abdominal surgery
- With other type of malignancy
- Preoperative voiding dysfunction
- Preoperative sexual dysfunction
- Refusing to attend this trial
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Postoperative complications including bleeding, anastomotic leakage, postoperative infection, organ dysfunctions. postoperative 30 days The postoperative sexual function assessed by IIEF questionnaire postoperative one year The postoperative voiding function assessed by IPSS questionnaire. postoperative one year
- Secondary Outcome Measures
Name Time Method Operative time an expected average of 180 minutes Postoperative deaths postoperative 30 days The length postoperative hospital stay an expected average 8 days C-reactive protein postoperative 7 days serum C-reactive protein level after operation
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie pelvic autonomic nerve preservation in LNTME for rectal cancer?
How does laparoscopy-assisted TME compare to open TME in oncologic outcomes for rectal cancer patients?
Are there specific biomarkers that predict better nerve function preservation with LNTME versus open TME?
What are the potential adverse events associated with laparoscopic versus open total mesorectal excision?
What combination therapies or surgical techniques are being explored alongside nerve-preserved TME for rectal cancer?