NCT07029464尚未招募不适用
Comparison of Short- and Long-term Outcomes Between Robotic and Laparoscopic Hemicolectomy of Right Colon Cancer : A Multicenter Propensity Score Matching Analysis
适应症
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 4,000
- 主要终点
- 3-year overall survival (OS) rate and 3-year disease-free survival (DFS) rate
研究概览
简要总结
This is a retrospective, multicenter cohort study to compare short- and long-term outcomes between robotic and laparoscopic hemicolectomy of right colon cancer.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1.Underwent radical right hemicolectomy by Da Vinci robotic or laparoscopic surgery 2.Postoperative pathology confirmed right colon adenocarcinoma (pT2-T4aNxM0; including cecal adenocarcinoma, ascending colon adenocarcinoma, hepatic flexure colon adenocarcinoma, and proximal transverse colon adenocarcinoma) 3.Complete clinical data and pathological results available
排除标准
- •1.Received neoadjuvant therapy prior to surgery 2.History of other malignancies in the past 5 years (except cured cervical carcinoma in situ, basal cell carcinoma, or squamous cell carcinoma of the skin) 3.Distant metastases (e.g., liver, lung) or extensive abdominal/pelvic metastases confirmed by contrast-enhanced CT, PET-CT, or intraoperative exploration 4.Comorbid neurological/psychiatric disorders impairing ability to express informed consent 5.Poor systemic condition with contraindications to general anesthesia 6.Severe obesity (BMI >35 kg/m²) 7.Severe widespread abdominal adhesions precluding safe pneumoperitoneum establishment 8.Emergency surgery due to tumor perforation or obstruction 9.Refusal to provide informed consent
结局指标
主要结局
3-year overall survival (OS) rate and 3-year disease-free survival (DFS) rate
时间窗: （OS）From post-operation until death or the 3-year study endpoint （DFS）From post-operation to tumor recurrence or the 3-year study endpoint
次要结局
- Operative time(Periprocedural)
- Intraoperative blood loss(Periprocedural)
- Time to first flatus/bowel movement(Periprocedural)
- Time to liquid diet initiation(Periprocedural)
- Time to ambulation(Periprocedural)
- Postoperative hospital stay duration(Up to 30 days)
- Postoperative complications(From end of surgery to 30 days postoperatively)
- Postoperative white blood cell (WBC) count(On postoperative days 1, 3, and 5)
- Postoperative C-reactive protein (CRP) level(On postoperative days 1, 3, and 5)
- Pain score(On postoperative days 1, 3, and 5)
研究者
Taiyuan Li
chief physician
The First Affiliated Hospital of Nanchang University
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