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Prospective Randomized Study of SILS Versus CLS for Rectal Cancer

Phase 4
Completed
Conditions
Rectal Cancer
Adenocarcinoma
Interventions
Procedure: Single Incision Laparoscopic Surgery
Registration Number
NCT01579721
Lead Sponsor
Hvidovre University Hospital
Brief Summary

Background: Single-port laparoscopic surgery is emerging as a method to improve morbidity and cosmetic benefits of conventional laparoscopic surgery and minimize the surgical trauma. However, the feasibility of this procedure in rectal surgery has not been determined yet. The aim of this study is to evaluate our initial experience using single port access in laparoscopic rectal surgery.

Design: randomized, prospective clinical study Patients: 40 patients

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Patients > 18 years of age.
  • ASA I-III.
  • Tumor-location: maximum 15 cm from the anal verge.
  • No involvement of neighbouring organs.
  • No distant metastasis.
Exclusion Criteria
  • Linguistic, physical or psychological barriers precluding oral and written consent.
  • History of intestinal surgery (excl. appendectomy).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
SILS-groupSingle Incision Laparoscopic Surgery20 patients undergoing Single Incision Laparoscopic Surgery
Primary Outcome Measures
NameTimeMethod
morbidity30 days

The purpose of this study is to compare 30-days postoperative morbidity between the two groups

Secondary Outcome Measures
NameTimeMethod
immunology72 hours postoperatively

to compare results of blood-samples (C-reactive protein, leucocyte-count and interleukin-6) 72 hours postoperatively between the two groups

postoperative outcome5 days postoperatively

to compare postoperative results (postoperative pain, time to bowel function, time to regain full diet and mobilisation) between the two groups.

oncology30 days

Comparison of the oncological results (quality of specimen, completeness of mesorectal fascia, circumferential resection margin, number of harvested lymphnodes, TNM-classification) between the two groups.

Trial Locations

Locations (1)

Department of Gastroentestinal Surgery, Hvidovre Hospital

🇩🇰

Hvidovre, Denmark

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