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Brief Title: A Study of Laparoscopic Right Hemicolectomy Using the Caudal-to-cranial Approach
Official Title: A Prospective Randomized Controlled Clinical Study of Laparoscopic Right Hemicolectomy Using the Caudal-to-cranial Approach
Study ID: NCT02949440
Brief Summary: To investigate the clinical application value of laparoscopic radical right hemicolectomy using the caudal-to-cranial approach versus the medial-to-lateral approach by prospective randomized controlled clinical study.
Detailed Description: To compare the caudal-to-cranial approach with the medial-to-lateral approach in laparoscopic right hemicolectomy for the advance right colon cancer. A prospective randomized controlled trial will be performed in the GI department,the Guangdong provincial hospital of Chinese Medicine from October 2016 to October 2024.The sample size,150 cases with advanced right colon cancer, will be needed after calculated by the statistics .The 150 cases will be randomly divided into two groups: laparoscopic radical right hemicolectomy using the caudal-to-cranial(CtC) approach(GroupCtC) and laparoscopic radical right hemicolectomy using the medial-to-lateral(MtL) approach (GroupMtL). Primary outcomes are the operative time,The secondary outcomes are the total blood loss,the number of lymph nodes dissected,the average time of ground activities,the time to first flatus,the hospital stay,the intra-operative complication and the post-operative complication,and others' outcomes are the Disease-free survival rate(DFS) at 3 years and 5 years,the Overall survival rate(OS)at 3 years and 5 years.The data in two groups will be compared.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
GI surgery,Guangdong Province Hospital of Chinese Medicine, Guangzhou, Guangdong, China
Name: Liao-nan Zou, professor
Affiliation: GI surgery,Guangdong Province Hospital of Chinese Medicine
Role: PRINCIPAL_INVESTIGATOR
Name: Jin Wan, PhD
Affiliation: GI surgery,Guangdong Province Hospital of Chinese Medicine
Role: STUDY_DIRECTOR