LISH Trial for the Hepatic Flexure and Proximal Transverse Colon Cancer
Hepatic Flexure Colon Cancer, Proximal Transverse Colon Cancer
About this trial
This is an interventional treatment trial for Hepatic Flexure Colon Cancer focused on measuring hepatic flexure colon cancer, proximal transverse colon cancer, ileocecus-sparing, laparoscopic right hemicolectomy
Eligibility Criteria
Inclusion Criteria: Age between 18-75 years old ASA classification ≤III Colon adenocarcinoma confirmed by endoscopy and pathological biopsy Enhanced abdominal CT indicating the primary lesion is located in the hepatic flexure of the colon or proximal transverse colon (proximal 1/3 of the transverse colon) Preoperative clinical staging: TanyNanyM0 Patients able to understand the study protocol, willing to participate in the research, and providing written informed consent Exclusion Criteria: Preoperative examination indicates synchronous multiple primary colorectal cancers or other diseases requiring bowel segment resection Preoperative imaging or intraoperative exploration reveals: 1) tumor involving surrounding organs requiring combined organ resection; 2) presence of distant metastasis; 3) inability to perform R0 resection; 4) fused and fixed lymph nodes at the root of the ileocolic vessels Additional radical surgery following Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD) procedures History of any other malignant tumor within the last 5 years or familial adenomatous polyposis, except for cured in situ cervical cancer, basal cell carcinoma, papillary thyroid carcinoma, or skin squamous cell carcinoma Presence of bowel obstruction, bowel perforation, or intestinal bleeding requiring emergency surgery Patients unsuitable for or unable to tolerate laparoscopic surgery Pregnant or lactating women Patients with a history of psychiatric disorders Patients who have received neoadjuvant therapy prior to surgery Patients deemed unsuitable for the study by MDT discussion Patients unable to understand the study's conditions and objectives, and refusing to sign informed consent.
Sites / Locations
- the First Affiliated Hospital of Bengbu Medical Collage
- Beijing Cancer HospitalRecruiting
- Peking Union Medical College HospitalRecruiting
- Cancer Hospital Academy of medicine SceniceRecruiting
- the First Affiliated Hospital of Chongqing Medical CollageRecruiting
- Fujian Cancer Hospital
- Fujian Hospital Medical Union UniversityRecruiting
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technolog
- Hunan Cancer Hospital
- Jiangsu province hospital
- Nanjing Drum Tower HospitalRecruiting
- The First Affiliated Hospital of Nanchang University
- The Second Affiliated Hospital of Nanchang University
- Changhai Hospital of ShanghaiRecruiting
- Fudan University Shanghai Cancer CenterRecruiting
- Renji Hospital Affiliated of The Shanghai Jiao Tong University Medical School
- Ruijin Hospital Affiliated of The Shanghai Jiao Tong University Medical School
- Sichuan Cancer Hospital
- West China Hospital of Sichuang UniversityRecruiting
- The Cancer Hospital Affiliated of The Xingjiang University Medical SchoolRecruiting
- Yunan Cancer Hospital
- Second Affiliated Hospital Zhejiang University College of MedicineRecruiting
- Sir Run Run Shaw Hospital, Zhejiang University School of medicienRecruiting
- The First Affiliated Hospital, Zhejiang University school of Medicine
- Zhejiang Cancer Hospital
- Jinhua Municipal Central HospitalRecruiting
- Ningbo No.2 Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
LISH (Laparoscopic Ileocecal-Sparing Right Hemicolectomy)group
TRH (Traditional Right Hemicolectomy)group
In LISH group, patients suffering from cancer of the hepatic flexure and proximal transverse colon will be undergoing a novel radical right hemicolectomy technique that allows for the preservation of the ileocecal region.
In TRH group, patients suffering from cancer of the hepatic flexure and proximal transverse colon will be undergoing the traditional radical right hemicolectomy.