Application of Overlap Method to Digestive Tract Reconstruction of Totally Laparoscopic Left Colectomy
NCT ID: NCT05034692
Last Updated: 2022-10-24
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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RECRUITING
NA
60 participants
INTERVENTIONAL
2022-03-21
2025-12-31
Brief Summary
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Condition or disease：Left colon cancer Intervention/treatment： Procedure:Intracorporeal left colectomy Overlap anastomosis Procedure: Extracorporeal left colectomy convention anastomosis
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Overlap group
Total laparoscopic with intracorporeal anastomosis by overlap method
Total laparoscopic with intracorporeal anastomosis by overlap method
After the intestinal canal was dissociated and vascularized, the intestinal canal was nuded and cut off, and the distal and proximal intestinal canals were overlapped by 6 cm
Traditional group
Laparoscopic-assisted colectomy with extracorporeal anastomosis
Laparoscopic-assisted colectomy with extracorporeal anastomosis
After the corresponding colon and blood vessels were dissociated and treated, the carbon dioxide pneumoperitoneum was removed. The appropriate length of the incision was cut at the corresponding position of the abdomen, and the incision protector was placed. The tumor was lifted together with the free intestinal canal to the outside of the abdomen. The intestinal canals at the quasi-dismembered sites on both sides of the tumor were nuded, and the colon-colon functional end-to-end anastomosis was performed.
Interventions
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Total laparoscopic with intracorporeal anastomosis by overlap method
After the intestinal canal was dissociated and vascularized, the intestinal canal was nuded and cut off, and the distal and proximal intestinal canals were overlapped by 6 cm
Laparoscopic-assisted colectomy with extracorporeal anastomosis
After the corresponding colon and blood vessels were dissociated and treated, the carbon dioxide pneumoperitoneum was removed. The appropriate length of the incision was cut at the corresponding position of the abdomen, and the incision protector was placed. The tumor was lifted together with the free intestinal canal to the outside of the abdomen. The intestinal canals at the quasi-dismembered sites on both sides of the tumor were nuded, and the colon-colon functional end-to-end anastomosis was performed.
Eligibility Criteria
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Inclusion Criteria
* 18kg/m2≤BMI≤30kg/m2
* Neoplasm staging is T1-4a, N0-2, M0
* No previous history of abdominal surgery
* No previous history of neoplasm chemoradiotherapy
* No status of ileus, bowel obstruction and active hemorrhage of the digestive tract
Exclusion Criteria
* ASA≥3 classification
* BMI\<18kg/m2 or BMI\>30kg/m2
* Neoplasm staging is T4b or M1 Underwent chemoradiotherapy Appeared status of ileus,bowel perforation or active hemorrhage of digestive tract Patients with pregnant
18 Years
75 Years
ALL
No
Sponsors
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Tang-Du Hospital
OTHER
Responsible Party
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Principal Investigators
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Wang Nan, Doctor
Role: STUDY_CHAIR
General surgery ,Tang Du of Fourth Military Medical University
Locations
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General Surgery Gastrointestinal Department，Tang-Du of Fourth Military Medical University
Xi'an, Shaanxi, China
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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K202012-10
Identifier Type: -
Identifier Source: org_study_id
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