Robotic-assisted Left Hemicolectomy for Left Colon Cancer With a Medial-to-lateral Approach Orientated by AMA or AMV
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 2
- 试验地点
- 1
- 主要终点
- 5-years overall survival rate
研究概览
简要总结
The main goal of this study is to clarify if Robotic-assisted surgery could become the standard approach in patients undergoing left colonic resection.
Patient candidates to left colonic resection were randomly assigned to Robotic(RAL) or laparoscopic(LL) approach. The surgical staff who were not involved in the study registered 30-day postoperative morbidity. Cost-benefit analysis was based on hospital days. Long-term morbidity, quality of life, and 5-year survival have also been evaluated
详细描述
Robotic-assisted Left Hemicolectomy as advantages on showing the inferior mesenteric artery (IMA), protection of autonomic nerve compare to laparoscopic approach. Our experience found that operational flexibility was advantage without surgeon's position exchange.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Colon cancer adenocarcinoma The tumor located between the descending colon and the right 1/3 of transverse colon Tumors T3,Т4а,b N0-2 Tolerance of chemotherapy ECOG 0-2
排除标准
- •With distant metastases Tumors T1-2 Complications of tumor Women during Pregnancy
研究组 & 干预措施
robotic-assisted left colonic resection
Standard left colonic resection assisted by Davinci Robotic
干预措施: robotic assisted surgery (Procedure)
laparoscopic left colonic resection
Standard laparoscopic left colonic resection
干预措施: laparoscopic (Procedure)
结局指标
主要结局
5-years overall survival rate
时间窗: 5 years
次要结局
- Anastomosis leakage rate(6 months)
- Short-term morbidity rate(30 days)
- Complication incident rate of surgery(1 day)
- Blood loss during operation(1 day)
- Operation Time(1 day)
- C-reaction protein level(7 days)
- Recovery time after surgery(60 days)
研究者
Li Chuan
Secretary of General Surgery
Southwest Hospital, China