Natural Orifice Transluminal Endoscopic Surgery for Colorectal Cancer
NCT02549456 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2017-03-24
Summary
The purpose of this study is to assess different hybrid natural orifice transluminal endoscopic surgery techniques in management of colorectal cancer as regard: feasibility of the technique, short term oncologic outcome and functional outcome.
Conditions
Interventions
- PROCEDURE
-
natural orifice specimen extraction
Conventional laparoscopic resection of colorectal cancer is done then specimen is extracted through natural orifice (anal or vaginal orifice).
- PROCEDURE
-
Laparoendoscopic resection
Endoscopic phase: Transanal platform is inserted into the rectum, and pneumorectum is established. The lumen is occluded below the level of the tumor. The avascular ''oncologic'' presacral plane is entered posteriorly, and dissection proceeds cephalad in the total mesorectal excision planes. Next, the abdominal cavity is entered at the peritoneal reflection. The superior rectal artery is divided. The rectal stump then is reflected into the abdominal cavity, and retrograde dissection is performed until the procedure is limited by instrument length. Laparoscopic phase: Colon mobilization, lymph node dissection, and mesenteric excision are performed laparoscopically. Mobilization of the splenic flexure is done if needed.
Sponsors & Collaborators
-
Universidade da Coruña
collaborator OTHER -
Mansoura University
lead OTHER
Principal Investigators
-
Jose F Noguira, MD · Head of general and digestive surgery department, CHUAC, universidade da Coruna
-
Sherif Z Kotb, MD · Professor of surgical oncology, Oncology center Mansoura University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-12-31
- Primary Completion
- 2017-12-31
- Completion
- 2018-02-28
Countries
- Egypt
Study Locations
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