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Laparoscopic Splenic Flexure Mobilization

NCT ID: NCT03001375

Last Updated: 2016-12-23

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2016-12-31

Brief Summary

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This retrospective cohort study conducted on 140 patients who underwent laparoscopic anterior resection for upper rectal cancer in the period from May 2011 to November 2015, comparison will be done on splenic flexure mobilization excluding .

Detailed Description

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Presently, it is acknowledged that laparoscopic colectomy for left sided colorectal cancer is the most common surgery operated in laparoscopic colorectal surgeries, However the most debatable question in such type of operations that is it mandatory to do splenic flexure mobilization or not? In the literatures colorectal surgeons divided into 2 teams, those with splenic flexure mobilization in laparoscopic left colorectal resection to have tension free, well vascularized anastomosis On the other hand those against splenic flexure mobilization reported that omitting this step does not significantly affect the leakage rate, morbidity or the oncological outcomes In this study, we evaluate the necessity of splenic flexure mobilization in laparoscopic anterior resection for upper rectal tumors and its impact on the operative time, total morbidity, leakage rate, oncological safety and continence level

Conditions

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Splenic Flexure Mobilization

Keywords

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Laparoscopic colectomy. Splenic flexure mobilization. Anastomotic leakage.

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Mobilization group

Laparoscopic splenic flexure mobilization will be done.

Group Type ACTIVE_COMPARATOR

Laparoscopic high anterior resection splenic flexure mobilization

Intervention Type PROCEDURE

Non mobilization group

No mobilization of splenic flexure.

Group Type ACTIVE_COMPARATOR

Laparoscopic high anterior resection without splenic flexure mobilization

Intervention Type PROCEDURE

Interventions

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Laparoscopic high anterior resection splenic flexure mobilization

Intervention Type PROCEDURE

Laparoscopic high anterior resection without splenic flexure mobilization

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with upper rectal tumors.

Exclusion Criteria

* Low and mid rectal cancer
* Splenic flexure tumors, descending colon cancer,
* patients with associated lesions in the right or transverse colon
* Emergency cases.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Yasser Mohamed Abdel-samii

Lecturer of general surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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6379

Identifier Type: -

Identifier Source: org_study_id