Fluorescence Laparoscopic Navigation for Rectal Cancer and Sigmoid Colon Cancer

NCT ID: NCT05730595

Last Updated: 2023-08-29

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

550 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-01

Study Completion Date

2027-06-01

Brief Summary

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To explore the short-term and long-term outcomes of fluorescence laparoscopic navigation D2 lymph node dissection for colorectal cancer surgery by comparing it with D3 lymph node dissection.

Detailed Description

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Lymph node metastasis is the most common metastatic mechanisms for colorectal cancer. Therefore, regional lymph node dissection is the key part in radical surgery for colorectal cancer. In patients who have developed lymph node metastases, inadequate lymph node dissection will promote tumor recurrence. In patients who do not develop lymph node metastases, excessive lymph node dissection not only does not improve the patient's prognosis, but also increases surgical trauma and destroys the antitumor effect of the lymphoid immune system. There is still some controversy over whether to choose D3 lymph node dissection or D2 lymph node dissection for rectal and sigmoid cancer. Fluorescence laparoscopic navigation techniques can guide lymph node dissection by visualizing lymph nodes more clearly during surgery.

This study will compare the short-term and long-term oncological outcomes between fluorescence laparoscopic navigation D2 and D3 lymph node dissection by conducting a randomized controlled trial.

Conditions

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Colorectal Neoplasms Fluorescence Lymph Node Excision

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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D2 lymph node dissection

The D2 lymph node region are dissected. And 1-3 lymph nodes of the D2 region will be selected for intraoperative frozen section. If no lymph node metastasis is found in freezing, the D3 region lymph nodes in the root of the submesenteric artery were preserved.

Group Type EXPERIMENTAL

lymph node dissection

Intervention Type PROCEDURE

The extent of lymph node dissection varies between groups

D3 lymph node dissection

Thorough dissection of lymph nodes in the D3 region.

Group Type ACTIVE_COMPARATOR

lymph node dissection

Intervention Type PROCEDURE

The extent of lymph node dissection varies between groups

Interventions

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lymph node dissection

The extent of lymph node dissection varies between groups

Intervention Type PROCEDURE

Other Intervention Names

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Fluorescence-guided laparoscopic surgery Radical operation for rectal cancer and sigmoid Cancer

Eligibility Criteria

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Inclusion Criteria

* Participants are aged 18-75;
* Colonoscopy biopsy confirms colorectal adenocarcinoma;
* Colonoscopy shows that the lower edge of the tumor is located more than 10 cm from the margin or the tumor is located in the upper rectum and sigmoid colon by imaging diagnosis;
* The tumor is staged cT1-4aNxM0 by preoperative imaging;
* Participants have no local complications before surgery.

Exclusion Criteria

* Previous history of malignant colorectal tumor;
* Multiple primary colorectal tumors;
* Preoperative imaging reveals suspicious positive lymph nodes in the submesenteric artery root region (area 253);
* Patients undergoing neoadjuvant therapy before surgery;
* With contraindications to laparoscopic surgery;
* Histoty of multiple abdominal and pelvic surgery or extensive abdominal adhesions;
* Other malignancies were diagnosed within the past 5 years;
* History of severe mental illness;
* Pregnant or lactating women;
* With uncontrolled infection before surgery.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role collaborator

Fujian Province Tumor Hospital

OTHER

Sponsor Role collaborator

Guangdong Provincial People's Hospital

OTHER

Sponsor Role collaborator

Shengjing Hospital

OTHER

Sponsor Role collaborator

Affiliated Hospital of Qinghai University

OTHER

Sponsor Role collaborator

Hebei Medical University Fourth Hospital

OTHER

Sponsor Role collaborator

The Second Affiliated Hospital of Harbin Medical University

OTHER

Sponsor Role collaborator

Jiangxi Provincial Cancer Hospital

OTHER

Sponsor Role collaborator

The First Hospital of Jilin University

OTHER

Sponsor Role collaborator

Guangdong Provincial Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Shanxi Province Cancer Hospital

OTHER

Sponsor Role collaborator

Nanfang Hospital, Southern Medical University

OTHER

Sponsor Role collaborator

Second People's Hospital of Yunnan Province

OTHER

Sponsor Role collaborator

Binzhou Medical University

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of University of Science and Technology of China

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Chengdu Medical College

OTHER

Sponsor Role collaborator

The Second People's Hospital of Yibin

OTHER

Sponsor Role collaborator

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

OTHER

Sponsor Role collaborator

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Jianqiang Tang

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The First Affiliated Hospital of University of Science and Technology of China

Hefei, Anhui, China

Site Status

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, China

Site Status

The First Affiliated Hospital of Chengdu Medical College

Chengdu, Chengdu, China

Site Status

Fujian Province Tumor Hospital

Fuzhou, Fujian, China

Site Status

Guangdong Provincial Hospital of Traditional Chinese Medicine

Guangzhou, Guangdong, China

Site Status

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, China

Site Status

Nanfang Hospital of Southern Medical University

Guangzhou, Guangdong, China

Site Status

Hebei Medical University Fourth Hospital

Shijiazhuang, Hebei, China

Site Status

The Second Affiliated Hospital of Harbin Medical University

Haerbin, Heilongjiang, China

Site Status

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

Nanjing, Jiangsu, China

Site Status

Jiangxi Provincial Cancer Hospital

Nanchang, Jiangxi, China

Site Status

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status

Shengjing Hospital

Shenyang, Liaoning, China

Site Status

Qinghai University Affiliated Hospital

Xining, Qinghai, China

Site Status

Binzhou Medical University

Binzhou, Shandong, China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status

Shanxi Cancer Hospital

Taiyuan, Shanxi, China

Site Status

The Second People's Hospital of Yibin

Yibin, Sichuan, China

Site Status

The second People's Hospital of Yunnan Province

Kunming, Yunnan, China

Site Status

Countries

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China

Central Contacts

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Jianqiang Tang, Dr.

Role: CONTACT

+8613661090036

Facility Contacts

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Hanhui Yao, Dr.

Role: primary

13505698955

Jiangwei Xiao, Dr.

Role: primary

17311394528

Chunkang Yang, Dr.

Role: primary

13509333116

Dechang Diao

Role: primary

Deqing Wu, Dr.

Role: primary

13902301120

Haijun Deng, Dr.

Role: primary

13189096629

Hao Wang, Dr.

Role: primary

18602513286

Bo Yi, Dr.

Role: primary

13517007527

Quan Wang, Dr.

Role: primary

13944810508

Hong Zhang, Dr.

Role: primary

18940257919

Su Yan, Dr.

Role: primary

13519768807

Hong Jiang, Dr.

Role: primary

155 6436 6177

Guoxiang Cai, Dr.

Role: primary

13611831623

Haiyi Liu, Dr.

Role: primary

15802513619

Miao Wu, Dr.

Role: primary

13990905852

Bo Li, Dr.

Role: primary

137 0847 2035

Other Identifiers

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NCC20231

Identifier Type: -

Identifier Source: org_study_id

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