Phase II Trial to Evaluate Laparoscopic Surgery for Stage 0/I Rectal Carcinoma
Lap RC
2 other identifiers
interventional
495
1 country
1
Brief Summary
The purpose of this study is to examine the technical and oncological feasibility of laparoscopic surgery for rectal carcinoma
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Feb 2008
Longer than P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2008
CompletedFirst Submitted
Initial submission to the registry
March 6, 2008
CompletedFirst Posted
Study publicly available on registry
March 13, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2015
CompletedJune 16, 2011
June 1, 2011
7.6 years
March 6, 2008
June 15, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
overall survival
5 year
Secondary Outcomes (1)
anastomotic leakage rate
1 month
Study Arms (1)
Lap, 1
EXPERIMENTALPatients undergoing laparoscopic surgery for rectal carcinoma
Interventions
Laparoscopic resection of the rectum with adequate lymphadenectomy is performed according to the General Rules for Clinical and Pathological Studies on Cancer of the Colon, Rectum and Anus edited by the Japanese Society for Cancer of the Colon and Rectum. The extent of lymphadenectomy and site of ligation and division of the inferior mesenteric vessels were decided by the surgeon in charge. Pneumoperitoneal approaches are used to explore the abdomen, mobilize the left side colon, identify critical structures and ligate the vascular pedicle. Mobilization of the rectum, excision of the mesorectum, rectal transection, removal of the specimen, and reconstruction are performed by the pneumoperitoneal approach or the extracorporeal approach via a small incision (\<8 cm).
Eligibility Criteria
You may qualify if:
- Histologically proven rectal carcinoma.
- Tumor located in the rectum.
- Clinical Tis, T1, T2 N0 M0
- Without multiple lesions other than carcinoma in situ
- Tumor size \<8 cm.
- Sufficient organ function.
- No bowel obstruction.
- No history of major colorectal surgery.
- No history of chemotherapy or radiotherapy.
- Provide written informed consent.
You may not qualify if:
- Synchronous or metachronous (within 5 years) malignancy other than carcinoma in situ.
- Pregnant or lactating women.
- Severe mental disease.
- Severe pulmonary emphysema, interstitial pneumonitis or ischemic heart disease.
- Continuous systemic steroid therapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Kitasato University Hospital
Sagamihara, Kanagawa, 228-8555, Japan
Related Publications (3)
Yamamoto S, Yoshimura K, Konishi F, Watanabe M. Phase II trial to evaluate laparoscopic surgery for Stage 0/I rectal carcinoma. Jpn J Clin Oncol. 2008 Jul;38(7):497-500. doi: 10.1093/jjco/hyn054. Epub 2008 Jun 26.
PMID: 18586667BACKGROUNDIto M, Yamamoto S, Okuda J, Fujii S, Yamaguchi S, Otsuka K, Yoshimura K, Watanabe M; Japan Society of Laparoscopic Colorectal Surgery. Long-term survival outcomes following laparoscopic surgery for clinical stage 0/I rectal carcinoma. Ann Gastroenterol Surg. 2020 May 20;4(3):294-300. doi: 10.1002/ags3.12333. eCollection 2020 May.
PMID: 32490343DERIVEDYamamoto S, Ito M, Okuda J, Fujii S, Yamaguchi S, Yoshimura K, Sugihara K, Watanabe M; Japan Society of Laparoscopic Colorectal Surgery. Laparoscopic surgery for stage 0/I rectal carcinoma: short-term outcomes of a single-arm phase II trial. Ann Surg. 2013 Aug;258(2):283-8. doi: 10.1097/SLA.0b013e318283669c.
PMID: 23426337DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Masahiko Watanabe, PhD
Kitasato University Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NETWORK
Study Record Dates
First Submitted
March 6, 2008
First Posted
March 13, 2008
Study Start
February 1, 2008
Primary Completion
September 1, 2015
Study Completion
September 1, 2015
Last Updated
June 16, 2011
Record last verified: 2011-06