Laparoscopic Splenic Flexure Mobilization

Not Applicable

Completed

• Conditions: Splenic Flexure Mobilization
• Interventions: Procedure: Laparoscopic high anterior resection splenic flexure mobilization; Procedure: Laparoscopic high anterior resection without splenic flexure mobilization

• Registration Number: NCT03001375
• Lead Sponsor: Ain Shams University

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 Timeline

• Study Start: 2011-05
• Primary Completion: 2015-11
• Status Verified: 2016-12
• Study Completion: 2016-12
• Study First Submitted: 2016-12-09
• Study First Submitted QC: 2016-12-20
• Last Update Submitted: 2016-12-20
• Study First Posted: 2016-12-23
• Last Update Posted: 2016-12-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 140

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Mobilization group	Laparoscopic high anterior resection splenic flexure mobilization	Laparoscopic splenic flexure mobilization will be done.
Non mobilization group	Laparoscopic high anterior resection without splenic flexure mobilization	No mobilization of splenic flexure.

Primary Outcome Measures

Name	Time	Method
the incidence of leakage rate in laparoscopic anterior resection with splenic flexure mobilization versus non mobilization of splenic flexure	One year