A Study of Laparoscopic Right Hemicolectomy Using the Caudal-to-cranial Approach

Launched by GUANGDONG PROVINCIAL HOSPITAL OF TRADITIONAL CHINESE MEDICINE · Oct 28, 2016

Keywords

ClinConnect Summary

This clinical trial is studying a specific type of surgery called laparoscopic radical right hemicolectomy, which is used to remove part of the right side of the colon affected by cancer. The trial is comparing two different approaches to this surgery: one that starts from the bottom of the body (caudal-to-cranial) and another that starts from the middle (medial-to-lateral). The goal is to see which method is more effective and beneficial for patients with certain types of right-sided colon cancer.

To participate in this trial, individuals must be between the ages of 18 and 80 and have been diagnosed with stage II or III cancer of the right colon. They should also have no signs that the cancer has spread to other organs, and their overall health must be stable. Participants can expect to receive one of the two surgical approaches during the study and will be monitored closely throughout the process. It’s important to note that those with severe health conditions or certain types of cancer complications won't be eligible to join the trial. This research aims to improve surgical techniques and outcomes for patients facing colon cancer.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. The age limits is 18-80 years old;
• • 2. The clinical staging was II,III carcinoma of right colon，located in right-sided colon;
• • 3. The preoperative imaging confirmed that the tumor did not involve adjacent organs;
• • 4. American Society of anesthesiologists (ASA) score less than or equal to Level III;
• • 5. Criteria of performance status karnofsky is greater than or equal to 60.
• Exclusion Criteria:
• • 1. The patients' age limits is Less than 18 years old, or more than 80 years old
• • 2. The preoperative imaging confirmed that the tumor involve adjacent organs;
• • 3. The tumor have been finding distant metastases;
• • 4. American Society of anesthesiologists (ASA) score more than 3;
• • 5. Criteria of performance status karnofsky is lower than 60;
• • 6. It is the carcinoma of right colon with multiple colonic polyps Disease;
• • 7. there is a laparoscopic surgery contraindications.