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Standardization of Laparoscopic Surgery for Right Hemi Colon Cancer (SLRC)

Not Applicable
Conditions
Postoperative Complications
Stage, Colon Cancer
Overall Survival
Metastasis
Registration Number
NCT02942238
Lead Sponsor
Ruijin Hospital
Brief Summary

To standardize the surgery for advanced right hemi colon cancer with laparoscopy and investigate whether extended lymphadenectomy (CME) could improve disease-free survival in patients with right colon cancer, compared with D3 radical operation in laparoscopic colectomy.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
582
Inclusion Criteria
  1. Patients suitable for curative surgery 18-75years old
  2. Qualitative diagnosis: a pathological diagnosis of adenocarcinoma;
  3. Localization diagnosis: the tumor located between the cecum and the right 1/3 of transverse colon;
  4. Enhanced CT scan of chest, abdominal and pelvic cavity: assessment of tumor stage is T stage 1-4 and N stage 0-2; there is no distant metastasis.
  5. Informed consent
Exclusion Criteria
  1. Simultaneous or simultaneous multiple primary colorectal cancer;
  2. Preoperative imaging examination results show: (1) Tumor involves the surrounding organs and combined organ resection need to be done; (2)distant metastasis; (3)unable to perform R0 resection;
  3. History of any other malignant tumor in recent 5 years;
  4. Patients need emergency operation;
  5. Not suitable for laparoscopic surgery;
  6. Women during Pregnancy or breast feeding period;
  7. Informed consent refusal

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Disease-free survival3 years
Secondary Outcome Measures
NameTimeMethod
3 years overall survival3 years
The rate of local and distant recurrence3 years
The accuracy of preoperative staging with CT14 days
The rate of postoperative complications and mortality30 days

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