Comparison of Sphincter Preservation Surgery and Abdominoperineal Resection (APR): Prospective Clinical Trial
NCT01461525 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 342
Last updated 2024-12-05
Summary
Sphincter preservation surgery in low rectal cancer has been increased due to better understanding of tumor biology and advances in surgical technology. Furthermore, a majority of patients prefer sphincter preservation rather than living with permanent colostomy. But it is not clear whether sphincter preservation is directly related with better quality of life. There have been many studies comparing sphincter preservation surgery and abdominoperineal resection in many aspects including oncologic and functional outcomes, and the quality of life. However, the conclusion remains controversial because of the different results between studies.
Conditions
Interventions
- PROCEDURE
-
Abdominoperineal resection
After high ligation of IMA, TME with autonomic nerve preservation, proctectomy with sphincter sacrifice and permanent colostomy.
- PROCEDURE
-
Sphincter preservation surgery
After high ligation of IMA, TME with autonomic nerve preservation, sphincter preservation and proctectomy with distal margin of more than 0.5cm in length and temporary ileostomy
Sponsors & Collaborators
-
Seoul National University Bundang Hospital
collaborator OTHER -
National Cancer Center, Korea
collaborator OTHER_GOV -
Seoul National University Boramae Hospital
collaborator OTHER -
Hallym University Medical Center
collaborator OTHER -
Daehang Hospital
collaborator OTHER -
Seoul National University Hospital
lead OTHER
Principal Investigators
-
Sung-Bum Kang, Ph. D. · Seoul National University Bundang Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-10-31
- Primary Completion
- 2019-08-31
- Completion
- 2020-06-30
Countries
- South Korea
Study Locations
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