Role of Low Inferior Mesenteric Artery Ligation During Laparoscopic Surgery for Rectosigmoid Cancer
Evaluation of the Role of Low Inferior Mesenteric Artery Ligation During Laparoscopic Surgery for Rectosigmoid Tumors
1 other identifier
observational
120
1 country
1
Brief Summary
During sigmoid or rectal cancer surgery, dissection of lymphnodes at the origin of inferior mesenteric artery is mandatory. Nevertheless, ligation of the origin of IMA should compromise blood supply to left colon and affect anastomosis. The aim of this retrospective evaluation is to compare high and low IMA ligation with preservation of LCA, with or without skeletonization of the origin of IMA in laparoscopic colorectal resection.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jan 2014
Typical duration for all trials
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
January 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2017
CompletedFirst Submitted
Initial submission to the registry
June 4, 2018
CompletedFirst Posted
Study publicly available on registry
June 15, 2018
CompletedJune 15, 2018
June 1, 2018
3 years
June 4, 2018
June 4, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
effectivenes of lymphnode dissection
number of dissected lymphnodes
3 years
Secondary Outcomes (1)
complication
3 years
Study Arms (2)
Group 1
High Ligation of Inferior mesenteric artery
Group 2
Low ligation of inferior mesenteric artery with skeletonization at its origin
Interventions
Gruop 1: laparoscopic rectosigmoid resection with standard ligation of mesenteric artery at its origin Group 2: Laparoscopic rectosigmoid resection with low ligation of inferior mesenteric artery and its skeletonization with en bloc removal of all lymph nodes
Eligibility Criteria
All patients affectced by clinical stage I-III cancer of sigmoid and rectum.
You may qualify if:
- stage I-III carcinoma
You may not qualify if:
- stage IV
- Urgent resection
- conversion to open surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Policlinico Umberto I
Roma, 00161, Italy
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, PhD
Study Record Dates
First Submitted
June 4, 2018
First Posted
June 15, 2018
Study Start
January 1, 2014
Primary Completion
December 31, 2016
Study Completion
April 30, 2017
Last Updated
June 15, 2018
Record last verified: 2018-06
Data Sharing
- IPD Sharing
- Will not share