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临床试验/NCT02673177
NCT02673177Unknown不适用

A Randomized, Prospective Trial of Robotic Versus Laparoscopic-assisted Radical Resection for Rectal Cancer in Urinary, Erectile Function and Anal Function

Southwest Hospital, China0 个研究点目标入组 225 人开始时间: 2016年2月1日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
225
主要终点
Incidence of sexual and urinary dysfunction

研究概览

简要总结

This study compared robot-assisted total mesorectal excision (RTME) and laparoscopic total mesorectal excision (LTME) with regard to urinary function, sexual function and sphincter- preservation outcomes for low rectal cancer.

详细描述

Urinary and sexual dysfunction are recognized complications of rectal cancer surgery in men. This study compared robot-assisted total mesorectal excision (RTME) and laparoscopic total mesorectal excision(LTME) with regard to these functional outcomes.Sphincter- preservation outcomes for low rectal cancer was observed as well.

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
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients who are acceptable to two surgical procedures for the robot- assisted or laparoscopy-assisted rectal cancer, are willing to randomized trial;
  • Matching the diagnostic criteria;
  • Aged 18-70 years old;
  • Preoperative TNM staging (CT, laparoscopic exploration): cT1-3N0-3M0 (excluding M1, T4);
  • Preoperative ASA 3 scores;
  • There was no history of malignancy, no other malignant tumors by preoperative examination;
  • Without undergoing definitive treatment, such as radiotherapy, chemotherapy or immunotherapy preoperatively;
  • The informed consent form was signed by the patient himself(herself)or his principal agent;
  • In accordance with the international erectile function questionnaire (IIEF) urinary function scale, The urinary sexual function are normal.

排除标准

  • Age less than 18 years old or more than 70 years old;
  • Previous psychiatric patients or patients refused to sign the informed consent;
  • Attending other related clinical studies on surgical treatment of rectal cancer;
  • The patient has a history of malignant tumor, or a combination of other malignant tumors;
  • Patients have been treated with definitive treatment: radiotherapy, chemotherapy or immunotherapy;
  • Patients had received otherper abdominal operations (except for laparoscopic cholecystectomy);
  • Laparoscopic surgical contraindications: such as severe heart lung disease; abdominal wall hernia; diaphragmatic hernia; coagulation disorder; portal hypertension; pregnancy, etc.;
  • Those who has been confirmed to be unable to do a radical resection (T4 stage) for local advanced tumor;
  • Those who have urination sexual dysfunction preoperatively.

结局指标

主要结局

Incidence of sexual and urinary dysfunction

时间窗: One years after surgery

次要结局

  • disease-free survival(DFS )(3 years disease-free survival)
  • Anus preservation rate(One years after surgery)

研究者

发起方
Southwest Hospital, China
申办方类型
Other
责任方
Principal Investigator
主要研究者

Tang Bo

Principal Investigator

Southwest Hospital, China

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