Complete mesocolic excision vs. standard laparoscopic right hemicolectomy

Not Applicable

Recruiting

• Conditions: Cancer; Surgery; colon cancer

• Registration Number: PACTR201907742754947
• Lead Sponsor: Alexandria main university hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-12-21
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

1. Age 18+ years
2. Provision of written informed consent
3. Biopsy proven colonic adenocarcinoma located proximal to the mid transverse colon
4. Acceptable clear distal margin possible without division of the middle colic vessels
5. Local Multi Disciplinary Team recommends right hemicolectomy
6. Treatment undertaken with curative intent
7. Elective/scheduled operation
8. Patients fit for surgery
9. Minimal staging investigations performed - CT chest/abdomen/pelvis and full colonic assessment

Exclusion Criteria

1. Patient refusal
2. Any neoadjuvant treatment (including stenting)
3. Treatment undertaken with palliative intent
4. Emergency surgery (unplanned resection within 48hrs of admission)
5. More extensive colonic resection surgery required or performed (extended right hemicolectomy - division of all middle colic vessels, subtotal colectomy)
6. R1/R2 on histopathological assessment

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Size of resection specimen ;Number of lymph nodes present

Secondary Outcome Measures

Name	Time	Method
Operative time (minutes) ;Blood loss (ml);Length of hospital stay ;Early morbidity ;Surgical technique ;Extent of standard of care right hemicolectomy surgery ;Early morbidity ;Surgical technique ;Extent of standard of care right hemicolectomy surgery ;Three year disease free and overall survival