Comparison of Postoperative Anal Function Between Parks and Bacon Techniques in Low Rectal Cancer
Rectal Neoplasms, Low Anterior Resection Syndrome, Anastomotic Leak
About this trial
This is an interventional supportive care trial for Rectal Neoplasms focused on measuring anal function, Parks technique, Bacon technique
Eligibility Criteria
Inclusion Criteria: Men or women, aged between 18 and 75 years; Pathological diagnosis of rectal cancer before operation, with the distance from the lower edge of the tumor to the dentate line ≤ 3cm by MR imaging; No local complications (including complete/ incomplete obstruction, active bleeding, local invasion of sphincter or levator ani, etc.) before operation; Suitable for anal preservation surgery discussed by MDT; Adequate bone marrow, liver, renal and cardiac function meeting the requirements of surgery and anesthesia; R0 resection is expected technically; Provision of written informed consent. Exclusion Criteria: Previous history of malignant colorectal tumors; Complications such as obstruction and gastrointestinal bleeding that need an emergency operation; Unachievable R0 resection due to invasion of adjacent organs by primary tumor; Multiple primary tumors; History of other malignancy; Participation in other clinical trials within the previous 4 weeks of enrollment; ASA physical status score ≥ IV level and/or ECOG performance status ≥ 2; Intolerance of surgery due to liver, renal, cardiopulmonary or coagulation dysfunction, or underlying diseases; History of serious mental disorders; Women in pregnancy or lactation period; Uncontrolled infection before operation; Unsuitable to be included due to other clinical and laboratory conditions by the judgement of investigators.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Parks technique
Bacon technique
patients receive coloanal anastomosis operation
patients receive coloanal pull-out anastomosis operation