NCT03843398

Brief Summary

The primary aim of this study is \- to determine the difference of survival outcome (3-year overall survival, 3y OS) between after minilaparotomy and after laparoscopy.. Other aims include to determine the data below when minilaparotomy and laparoscopy are compared with each other.

  • 3-year disease free survival, 3y DFS
  • 5-year overall survival, 5y OS
  • 5-year disease free survival, 5y DFS
  • Local recurrence rate, LRR
  • Postoperative complications Incidence and mortality at 30 days

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
992

participants targeted

Target at P75+ for not_applicable colorectal-cancer

Timeline
Completed

Started Apr 2019

Longer than P75 for not_applicable colorectal-cancer

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 13, 2019

Completed
5 days until next milestone

First Posted

Study publicly available on registry

February 18, 2019

Completed
1 month until next milestone

Study Start

First participant enrolled

April 1, 2019

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2024

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2026

Completed
Last Updated

February 18, 2019

Status Verified

February 1, 2019

Enrollment Period

5 years

First QC Date

February 13, 2019

Last Update Submit

February 14, 2019

Conditions

Keywords

Colorectal CancerMinilaparotomySurvival

Outcome Measures

Primary Outcomes (1)

  • 3-year overall survival, 3y OS

    3y OS

    3 years after the follow up of the last patient enrolled.

Secondary Outcomes (6)

  • 5-year overall survival, 5y OS

    5 years after the follow up of the last patient enrolled.

  • 3-year disease free survival, 3y DFS

    3 years after the follow up of the last patient enrolled.

  • 5-year disease free survival, 3y DFS

    5 years after the follow up of the last patient enrolled.

  • Local recurrence rate, LRR

    3 years after the follow up of the last patient enrolled.

  • Postoperative complications Incidence at 30 days

    30 days after the operation of the last patient enrolled.

  • +1 more secondary outcomes

Study Arms (2)

Minilaparotomy Group

EXPERIMENTAL

Participants in this arm undergo colorectal cancer resection via minilaparotomy.

Procedure: Colorectal cancer resection via minilaparotomy

Laparoscopy Group

ACTIVE COMPARATOR

Participants in this arm undergo laparoscopic colorectal cancer resection.

Procedure: Laparoscopic colorectal cancer resection

Interventions

According to the cancer location, a 7 cm incision is made in specific area of the patient's abdomen. The whole procedure of operation will be finished within this incision. If the incision must be lengthen due to the surgical demand, the failure of the minilaparotomy is determined.

Also known as: Minilaparotomy
Minilaparotomy Group

This is one of the routine procedures used for colorectal cancer resection.

Also known as: Laparoscopy
Laparoscopy Group

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Colorectal cancer with pathological results.
  • Colorectal cancer preliminary diagnosed during colonoscopy.
  • No confirmed metastasis.
  • No comorbidity of other malignancy.
  • The primary tumor is less than 10 cm.
  • No organ dysfunction.
  • The patient and his families totally agree with the whole investigative procedure, and sign the written informed consent form.

You may not qualify if:

  • Diagnosed with any other malignancy within 5 years.
  • Comorbidity of emergent conditions like perforation.
  • Former colorectal surgery history which may affects digestive tract reconstruction.
  • Need combined organ resection.
  • ASA grade IV or V.
  • Pregnant or lactating Women.
  • Severe mental diseases.
  • Severe cardiopulmonary diseases which reduce operation tolerance.
  • Systematic steroid therapy lasting for more than 1 month.
  • Intolerant of laparoscopy.
  • No written informed consent form signed.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (2)

  • Wang XD, Huang MJ, Yang CH, Li K, Li L. Minilaparotomy to rectal cancer has higher overall survival rate and earlier short-term recovery. World J Gastroenterol. 2012 Oct 7;18(37):5289-94. doi: 10.3748/wjg.v18.i37.5289.

    PMID: 23066325BACKGROUND
  • Ishida H, Ishiguro T, Ohsawa T, Okada N, Kumamoto K, Ishibashi K, Haga N, Yokoyama M, Nakada H, Gonda T. Oncologic outcome of stages II/III colon cancer treated via minilaparotomy. Int Surg. 2011 Apr-Jun;96(2):127-34. doi: 10.9738/1384.1.

    PMID: 22026303BACKGROUND

Related Links

MeSH Terms

Conditions

Colorectal Neoplasms

Interventions

LaparotomyLaparoscopy

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

Surgical Procedures, OperativeEndoscopyDiagnostic Techniques, SurgicalDiagnostic Techniques and ProceduresDiagnosisMinimally Invasive Surgical Procedures

Study Officials

  • En-Da YU, MBBS

    Changhai Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Zi-Ye ZHAO, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Department of Colorectal Surgery and Vice Director of GI Endoscopy

Study Record Dates

First Submitted

February 13, 2019

First Posted

February 18, 2019

Study Start

April 1, 2019

Primary Completion

April 1, 2024

Study Completion

April 1, 2026

Last Updated

February 18, 2019

Record last verified: 2019-02