Laparoscopic Transvaginal Hybrid Anterior Resection: a Prospective Data Collection
NCT ID: NCT01043731
Last Updated: 2010-12-10
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
45 participants
OBSERVATIONAL
2008-09-30
2010-11-30
Brief Summary
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Therefore all patients giving the informed consent to the transvaginal hybrid anterior resection will be included and assessed concerning feasibility to perform the transvaginal approach and complete the operation transvaginally.
Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Ginven indication for laparoscopic anterior resection
Laparoscopic transvaginal hybrid anterior resection
Transvaginal Hybrid Anterior Resection: three 5mm trocars are placed transabdominally (one trans-umbilical, the other two in the lower abdomen). Identification of the inferior mesenteric vein and artery. Clipping of the vein. Then placement of a 12mm trocar through the posterior fornix of the vagina for stapling of the inferior mesenteric artery. After mobilisation of the colon descendens and the splenic flexure stapling of the proximal rectum through the 12mm trocar placed vaginally. Afterwards the colpotomy is performed and the mobilised left hemi-colon is extracted transvaginally. The proximal colonic resection is performed extracorporeally in the conventional fashion with placement of a purse-string suture and insertion of the circular stapling anvil into the proximal end of the bowel. The bowel is then replaced into the abdominal cavity. The colpotomy is then closed. A circular stapler is inserted transanally and the end-to-end anastomosis is performed.
Interventions
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Laparoscopic transvaginal hybrid anterior resection
Transvaginal Hybrid Anterior Resection: three 5mm trocars are placed transabdominally (one trans-umbilical, the other two in the lower abdomen). Identification of the inferior mesenteric vein and artery. Clipping of the vein. Then placement of a 12mm trocar through the posterior fornix of the vagina for stapling of the inferior mesenteric artery. After mobilisation of the colon descendens and the splenic flexure stapling of the proximal rectum through the 12mm trocar placed vaginally. Afterwards the colpotomy is performed and the mobilised left hemi-colon is extracted transvaginally. The proximal colonic resection is performed extracorporeally in the conventional fashion with placement of a purse-string suture and insertion of the circular stapling anvil into the proximal end of the bowel. The bowel is then replaced into the abdominal cavity. The colpotomy is then closed. A circular stapler is inserted transanally and the end-to-end anastomosis is performed.
Eligibility Criteria
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Inclusion Criteria
* sigmoid diverticulosis (two or more attacks)
* sigmoid diverticulitis (Hinchey I and II)
Exclusion Criteria
* emergency surgery
* liver-malfunction or coagulation disorders
* acute diverticulitis (Hinchey III and IV)
* malignancy
* acute vaginal infection
* refusal of mandatory preoperative gynecological examination
* pregnancy
* endometriosis
* previous surgery of colon and rectum
* strongly retroflexed uterus
* acute pelvic disorders, infection
18 Years
FEMALE
No
Sponsors
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Cantonal Hospital of St. Gallen
OTHER
Responsible Party
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Kantonal Hospital St. Gallen, Department of Visceral Surgery
Principal Investigators
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Andreas Zerz, MD
Role: PRINCIPAL_INVESTIGATOR
Cantonal Hospital St. Gallen
Locations
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Department of surgery
Sankt Gallen, , Switzerland
Countries
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Other Identifiers
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EKSG09/151/2B
Identifier Type: -
Identifier Source: org_study_id