Laparoscopic Right Hemicolectomy With Transrectal Specimen Extraction for Colon Cancer
Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
The purpose of this study is to investigate the preliminary surgical outcomes of laparoscopic right hemicolectomy with transrectal specimen extraction. The hypothesis is that this type of natural orifice specimen extraction surgery (NOSES) could achieve good short-term and oncological outcomes for right colon cancer patients.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: f
View:
• Biopsy proven colon carcinoma;
• Imaging diagnosis of T1-3 colon cancer;
• The tumor located in the cecum, ascending colon, or colonic hepatic flexure;
• Maximal tumor diameter ≤5 cm;
• Body mass index (BMI) ≤30 kg/m2;
• Written informed consent;
Locations
Other Locations
China
National Cancer Center
RECRUITING
Beijing
Contact Information
Primary
Zheng Xu, M.D.
1206164395@qq.com
+8618800157037
Backup
Yueyang Zhang, M.D.
yyzhang0129@163.com
+8613552910035
Time Frame
Start Date: 2024-03-01
Estimated Completion Date: 2025-09-01
Participants
Target number of participants: 37
Treatments
Experimental: Laparoscopic Right Hemicolectomy With Transrectal Specimen Extraction
STEP 1: Dissection and separation The mesentery and vessels were dissected and separated according to the principle of complete mesocolic excision.~STEP 2: Intracorporeal anastomosis An enterotomy was performed on the antimesenteric side of the ileum at the edge of the staple line. This maneuver was replicated on the transverse colic side. Subsequently, the cartridge jaw of the stapler was inserted into the transverse colon. The stapler was fired and withdrawn, and the common enterotomy was sealed by using another linear stapler.~STEP 3: Transrectal specimen extraction A longitudinal incision was made on the anterior of wall of the upper rectum. The assistant employed oval forceps to extract the specimen along with the protective sleeve through the incision in the upper rectum. After the complete extraction of the specimen, a full-layer running suturing was performed to close the incision.
Related Therapeutic Areas
Sponsors
Leads: National Cancer Center, China