Transanal Versus Laparoscopic Total Mesorectal Excision For Rectal Cancer
NCT03359616 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 258
Last updated 2017-12-02
Summary
Total mesorectal excision (TME) has been prevailingly accepted as a crucial surgical intervention within the latest oncological therapeutic regime for mid-low rectal cancer. However, surgical dissection under the restricted pelvic anatomical structure, added by obesity and many other general factors, remains challenging for classical open and laparoscopic patterns, particularly in male cases. The introduction of transanal total mesorectal excision (TaTME) offers an optimal pattern for the surgical resection of mid-low rectal cancer, circumventing the conventional anatomical limits while bringing forward considerable advantages by direct dissection. Noteworthy, the surgical techniques of TaTME is initially established, with the mortality/morbidity and the oncological safety unverified. The studies that focus on the comparison between TaTME and laparoscopic TME (LaTME) remain sparse. Therefore, the features of TaTME, both in short and long terms, await further consolidation by clinical trials. Herein, this single centered, interventional study protocol is established to collect initial clinical data on both the safety and efficacy of the TaTME in comparison with LaTME in East Chinese patients with mid-low rectal cancer.
Conditions
- Rectal Cancer
- Surgery
Interventions
- PROCEDURE
-
Transanally curable surgical resection
Transanally, the rectal cancer will be mobilized with oncological principle of total mesorectal excision
- PROCEDURE
-
Laparoscopic total mesorectal excision
Conventionally by laparoscopic surgery, the rectal cancer will be mobilized with oncological principle of total mesorectal excision
Sponsors & Collaborators
-
Shanghai Minimally Invasive Surgery Center
lead OTHER
Principal Investigators
-
Minhua Zheng, M.D., PhD. · MISC, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-01-01
- Primary Completion
- 2021-01-01
- Completion
- 2022-01-01
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