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Laparoscopic Complete Mesocolic Excision on Colon Cancer (LCME)

Primary Purpose

Operation Finding, Complications, Pathology

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
laparoscopic complete mesocolic excision
D3-laparoscopic colectomy
Sponsored by
Bo Feng
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Operation Finding

Eligibility Criteria

18 Years - 79 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with pathologically confirmed colon cancer
  • Signed consent

Exclusion Criteria:

  • History of malignancy
  • Intestinal obstruction or perforation
  • Evidence of metastasis by preoperative examinations
  • Deformity of spine
  • Emergency case
  • BMI > 29

Sites / Locations

  • Ruijin Hospital affiliated to Shanghai Jiaotong University school of medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

laparoscopic complete mesocolic excision

D3 laparoscopic colectomy

Arm Description

Randomized group of patients receiving laparoscopic colectomy with the concept of complete mesocolic excision

Randomized group of patients receiving laparoscopic colectomy with D3-resection

Outcomes

Primary Outcome Measures

Histopathological Outcomes Obtained Through the Surgeries
number of lymph nodes retrieved

Secondary Outcome Measures

Survival Rate
The follow up to the patients after the surgery to evaluate the oncological results of the technique

Full Information

First Posted
June 20, 2012
Last Updated
October 26, 2022
Sponsor
Bo Feng
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1. Study Identification

Unique Protocol Identification Number
NCT01628250
Brief Title
Laparoscopic Complete Mesocolic Excision on Colon Cancer
Acronym
LCME
Official Title
Clinical Research on the Efficacy and Feasibility of Laparoscopic Complete Mesocolic Excision on Colon Cancer: A Randomized Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Completed
Study Start Date
June 2012 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
October 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Bo Feng

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Laparoscopic complete mesocolic excision is a concept that using laparoscopic surgery technique to perform a resection for colon cancer. Besides, the segment of the colon containing the tumor, the resection area should include an intact mesocolon as an envelope to encase the possible route for metastasis. The routes include blood vessels, lymphatic drain and etc. Such hypothesis predicts better histopathological and higher oncological results which turns into better survival rate and better quality of life.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Operation Finding, Complications, Pathology, Quality of Life, Neoplasms Recurrence

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
99 (Actual)

8. Arms, Groups, and Interventions

Arm Title
laparoscopic complete mesocolic excision
Arm Type
Active Comparator
Arm Description
Randomized group of patients receiving laparoscopic colectomy with the concept of complete mesocolic excision
Arm Title
D3 laparoscopic colectomy
Arm Type
Active Comparator
Arm Description
Randomized group of patients receiving laparoscopic colectomy with D3-resection
Intervention Type
Procedure
Intervention Name(s)
laparoscopic complete mesocolic excision
Other Intervention Name(s)
laparoscopic CME, Complete Medial Approach (CMA), Hybrid Medial Approach (HMA)
Intervention Description
laparoscopic complete mesocolic excision would be applied on randomized group of patients suffering colon cancer and possessing no marked surgical anti-indications. Lap.CME facilitaes medial approach to complete the procedure. CME and HMA are the two arms of the medial approach utilized.
Intervention Type
Procedure
Intervention Name(s)
D3-laparoscopic colectomy
Other Intervention Name(s)
D3 laparoscopic colectomy
Intervention Description
D3-laparoscopic colectomy would be applied on randomized group of patients suffering colon cancer and possessing no marked surgical anti-indications.
Primary Outcome Measure Information:
Title
Histopathological Outcomes Obtained Through the Surgeries
Description
number of lymph nodes retrieved
Time Frame
14 days after the surgery
Secondary Outcome Measure Information:
Title
Survival Rate
Description
The follow up to the patients after the surgery to evaluate the oncological results of the technique
Time Frame
3 years after the surgery

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with pathologically confirmed colon cancer Signed consent Exclusion Criteria: History of malignancy Intestinal obstruction or perforation Evidence of metastasis by preoperative examinations Deformity of spine Emergency case BMI > 29
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bo Feng, MD/PhD
Organizational Affiliation
Shanghai Minimally Invasive Surgery Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ruijin Hospital affiliated to Shanghai Jiaotong University school of medicine
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200025
Country
China

12. IPD Sharing Statement

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Laparoscopic Complete Mesocolic Excision on Colon Cancer

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