Laparoscopic-Assisted Surgery Compared With Open Surgery in Treating Patients With Colon Cancer
Colorectal Cancer
About this trial
This is an interventional treatment trial for Colorectal Cancer focused on measuring stage I colon cancer, stage II colon cancer, stage III colon cancer, adenocarcinoma of the colon
Eligibility Criteria
DISEASE CHARACTERISTICS: Clinical diagnosis of primary adenocarcinoma Involving a single colon segment: Right colon from the ileocecal valve up to and including the hepatic flexure Left colon from the splenic flexure to the junction of the sigmoid and descending colon Sigmoid colon between the descending colon and the rectum (at least 15 cm from the dentate) Diagnosis based on physical exam plus either a proctosigmoidoscopy and barium enema or a colonoscopy No advanced local disease that renders laparoscopic resection impossible No acutely obstructed or perforated colon cancer requiring urgent surgery No transverse colon cancer (i.e., between distal hepatic flexure and proximal splenic flexure) No stage IV disease No rectal cancer (i.e., below the peritoneal reflection, lower edge of tumor less than 15 cm from dentate) No American Society of Anesthesiologists IV/V disease classification No associated gastrointestinal diseases (i.e., Crohn's, chronic ulcerative colitis, or familial polyposis) that require additional extensive operative evaluation or intervention PATIENT CHARACTERISTICS: Age: 18 and over Other: No other prior or concurrent malignancy within the past 5 years except superficial squamous cell or basal cell skin cancer or carcinoma in situ of the cervix Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Surgery: No prohibitive scars/adhesions from prior abdominal surgery Other: No concurrent investigational treatments or invasive diagnostic procedures within 30 days after surgery
Sites / Locations
- Huntsville Hospital System
- MBCCOP - Gulf Coast
- CCOP - Greater Phoenix
- University of Arkansas for Medical Sciences
- St. Mary's Hospital
- Cancer Center and Beckman Research Institute, City of Hope
- Scripps Clinic
- University of California San Diego Cancer Center
- Loma Linda University Medical Center
- Saint Mary Medical Center - Long Beach
- CCOP - Bay Area Tumor Institute
- Naval Medical Center - Oakland
- Sutter Cancer Center
- Veterans Affairs Satellite Clinic - Sacramento
- Naval Medical Center - San Diego
- Veterans Affairs Medical Center - San Francisco
- CCOP - Santa Rosa Memorial Hospital
- Kaiser Permanente Medical Center - Vallejo
- University of Colorado Cancer Center
- CCOP - Colorado Cancer Research Program, Inc.
- Hartford Hospital
- CCOP - Christiana Care Health Services
- Baptist Regional Cancer Institute - Jacksonville
- CCOP - Mount Sinai Medical Center
- Sylvester Cancer Center, University of Miami
- MD Anderson Cancer Center Orlando
- Sarasota Memorial Hospital
- Winship Cancer Institute
- CCOP - Atlanta Regional
- Medical College of Georgia Comprehensive Cancer Center
- Veterans Affairs Medical Center - Atlanta (Decatur)
- Cancer Research Center of Hawaii
- Robert H. Lurie Comprehensive Cancer Center, Northwestern University
- Veterans Affairs Medical Center - Lakeside Chicago
- MBCCOP-Cook County Hospital
- Rush-Presbyterian-St. Luke's Medical Center
- Illinois Masonic Medical Center
- CCOP - Central Illinois
- CCOP - Evanston
- West Suburban Hospital Medical Center
- Rockford Clinic
- CCOP - Carle Cancer Center
- Regional Cancer Center
- CCOP - Iowa Oncology Research Association
- Holden Comprehensive Cancer Center
- CCOP - Wichita
- Lucille Parker Markey Cancer Center, University of Kentucky
- Norton Healthcare System
- Baptist Hospital East - Louisville
- Louisiana State University Medical Center - New Orleans
- Tulane University School of Medicine
- Veterans Affairs Medical Center - New Orleans
- CCOP - Ochsner
- Eastern Maine Medical Center
- Franklin Square Hospital Center
- National Naval Medical Center
- Regional Cancer Therapy Center - Frederick
- New England Medical Center Hospital
- Boston Medical Center
- Lahey Clinic - Burlington
- Berkshire Medical Center
- Baystate Medical Center
- University of Massachusetts Memorial Healthcare
- CCOP - Ann Arbor Regional
- Michigan State University
- CCOP - Grand Rapids Clinical Oncology Program
- CCOP - Kalamazoo
- Providence Hospital - Southfield
- CCOP - Duluth
- Hennepin County Medical Center - Minneapolis
- CCOP - Metro-Minnesota
- Keesler Medical Center - Keesler AFB
- Ellis Fischel Cancer Center - Columbia
- CCOP - Kansas City
- St. Louis University School of Medicine
- CCOP - St. Louis-Cape Girardeau
- CCOP - Montana Cancer Consortium
- CCOP - Missouri Valley Cancer Consortium
- Methodist Cancer Center - Omaha
- CCOP - Southern Nevada Cancer Research Foundation
- Veterans Affairs Medical Center - East Orange
- CCOP - Northern New Jersey
- Newark Beth Israel Medical Center
- University of New Mexico Cancer Research & Treatment Center
- Albany Regional Cancer Center
- CCOP - North Shore University Hospital
- Champlain Valley Physicians Hospital Medical Center
- Genesee Surgical Associates
- Staten Island University Hospital
- CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
- Lineberger Comprehensive Cancer Center, UNC
- CCOP - Southeast Cancer Control Consortium
- Comprehensive Cancer Center at Wake Forest University
- Veterans Affairs Medical Center - Fargo
- CCOP - Merit Care Hospital
- Akron City Hospital
- Aultman Cancer Center
- Jewish Hospital of Cincinnati, Inc.
- Barrett Cancer Center, The University Hospital
- South Pointe Hospital
- CCOP - Columbus
- Arthur G. James Cancer Hospital - Ohio State University
- Veterans Affairs Medical Center - Dayton
- CCOP - Dayton
- CCOP - Toledo Community Hospital Oncology Program
- CCOP - Oklahoma
- Oregon Cancer Center
- CCOP - Columbia River Program
- Lehigh Valley Hospital
- St. Luke's Network - Bethlehem
- Geisinger Medical Center
- Albert Einstein Cancer Center
- Allegheny General Hospital
- University of Pittsburgh Cancer Institute
- Veterans Affairs Medical Center - Pittsburgh
- Reading Hospital and Medical Center
- CCOP - MainLine Health
- York Hospital
- Kent County Memorial Hospital
- Medical University of South Carolina
- CCOP - Greenville
- CCOP - Upstate Carolina
- CCOP - Sioux Community Cancer Consortium
- Baptist Regional Cancer Center - Knoxville
- Veterans Affairs Medical Center - Memphis
- Medical Group of Texas
- Kelsey Seybold Clinic
- Wilford Hall - 59th Medical Wing
- University of Texas Health Science Center at San Antonio
- University of Texas Health Center at Tyler
- Utah Valley Regional Medical Center - Provo
- Vermont Cancer Center
- Virginia Oncology Associates - Newport News
- Eastern Virginia Medical School
- Veterans Affairs Medical Center - Richmond
- Massey Cancer Center
- MBCCOP - Massey Cancer Center
- Oncology and Hematology Associates of Southwest Virginia, Inc.
- CCOP - Virginia Mason Research Center
- Puget Sound Oncology Consortium
- CCOP - Northwest
- Camden-Clark Memorial Hospital
- CCOP - Green Bay
- CCOP - Marshfield Medical Research and Education Foundation
- Medical College of Wisconsin
- Tom Baker Cancer Center - Calgary
- Cross Cancer Institute
- CancerCare Manitoba
- Toronto Sunnybrook Regional Cancer Centre
- St. Michael's Hospital - Toronto
- Centre Hospitalier de l'Universite de Montreal
- Royal Victoria Hospital - Montreal
- Montreal General Hospital
- Jewish General Hospital - Montreal
- Centre Hospitalier Universitaire de Quebec
- L'Hopital Laval
- MBCCOP - San Juan
- Veterans Affairs Medical Center - San Juan
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Conventional surgery
Laparoscopic-assisted colectomy
Patients undergo open laparotomy and colectomy. A standard incision is made through the abdominal wall and the abdominal cavity is explored. A right or left colectomy or a sigmoid resection is performed. Patients may be entered on adjuvant chemotherapy trials after surgery provided the subsequent trial does not include radiotherapy and allows entry of patients from both arms. Quality of life is assessed at baseline and on days 2 and 14 after surgery, at 2 months, and then at 18 months. (closed as of 4/30/99) Patients are followed every 3 months for 1 year, every 6 months for 4 years, and then annually for 3 years.
Patients undergo a laparoscopic-assisted colectomy. A small infraumbilical incision is made through the abdominal skin and the abdominal cavity is insufflated with CO2 to allow access and visualization. The abdominal cavity is explored. If advanced local disease is identified, a celiotomy and colectomy are performed. Otherwise, a right or left colectomy or sigmoid resection is performed using laparoscopic-assisted techniques. Patients may be entered on adjuvant chemotherapy trials after surgery provided the subsequent trial does not include radiotherapy and allows entry of patients from both arms. Quality of life is assessed at baseline and on days 2 and 14 after surgery, at 2 months, and then at 18 months. (closed as of 4/30/99) Patients are followed every 3 months for 1 year, every 6 months for 4 years, and then annually for 3 years.