Is it Necessary to do Splenic Flexure Mobilization in Laparoscopic Resection of Upper Rectal Tumors?
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ain Shams University
- Enrollment
- 140
- Primary Endpoint
- the incidence of leakage rate in laparoscopic anterior resection with splenic flexure mobilization versus non mobilization of splenic flexure
Study Overview
Brief Summary
This retrospective cohort study conducted on 140 patients who underwent laparoscopic anterior resection for upper rectal cancer in the period from May 2011 to November 2015, comparison will be done on splenic flexure mobilization excluding .
Detailed Description
Presently, it is acknowledged that laparoscopic colectomy for left sided colorectal cancer is the most common surgery operated in laparoscopic colorectal surgeries, However the most debatable question in such type of operations that is it mandatory to do splenic flexure mobilization or not? In the literatures colorectal surgeons divided into 2 teams, those with splenic flexure mobilization in laparoscopic left colorectal resection to have tension free, well vascularized anastomosis On the other hand those against splenic flexure mobilization reported that omitting this step does not significantly affect the leakage rate, morbidity or the oncological outcomes In this study, we evaluate the necessity of splenic flexure mobilization in laparoscopic anterior resection for upper rectal tumors and its impact on the operative time, total morbidity, leakage rate, oncological safety and continence level
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients with upper rectal tumors.
Exclusion Criteria
- •Low and mid rectal cancer
- •Splenic flexure tumors, descending colon cancer,
- •patients with associated lesions in the right or transverse colon
- •Emergency cases.
Arms & Interventions
Mobilization group
Laparoscopic splenic flexure mobilization will be done.
Intervention: Laparoscopic high anterior resection splenic flexure mobilization (Procedure)
Non mobilization group
No mobilization of splenic flexure.
Intervention: Laparoscopic high anterior resection without splenic flexure mobilization (Procedure)
Outcomes
Primary Outcomes
the incidence of leakage rate in laparoscopic anterior resection with splenic flexure mobilization versus non mobilization of splenic flexure
Time Frame: One year
Secondary Outcomes
No secondary outcomes reported
Investigators
Yasser Mohamed Abdel-samii
Lecturer of general surgery
Ain Shams University