NCT06405308

Brief Summary

A retrospective cohort study, conducted nationwide(China) and across multiple centers, aimed to compare the surgical quality and short-term outcomes of R-NOSES (robotic natural orifice specimen extraction surgery)with R-TSES (robotic transabdominal specimen extraction surgery) for early-stage rectal cancer.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
636

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2023

Shorter than P25 for all trials

Geographic Reach
1 country

8 active sites

Status
completed

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

Study Start

First participant enrolled

October 1, 2023

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 15, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 15, 2024

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

May 4, 2024

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 8, 2024

Completed
Last Updated

May 13, 2024

Status Verified

May 1, 2024

Enrollment Period

4 months

First QC Date

May 4, 2024

Last Update Submit

May 9, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Complication rate

    Complication rate within 1 month postoperatively.All complications of surgery will be documented and graded by the Clavien-Dindo classification system,generally including anastomotic leakage, abdominal infection, bleeding, incision infection, incision implantation, intestinal obstruction, and rectovaginal fistula.

    Up to 30 days postoperatively

Secondary Outcomes (9)

  • Operative time

    Intraoperative

  • Estimated blood loss

    Intraoperative

  • Postoperative recovery composite

    Up to 2 weeks

  • Postoperative hospital stay

    Up to 4 weeks

  • Pain assessment

    1, 3, 5 days postoperatively

  • +4 more secondary outcomes

Study Arms (2)

R-NOSES group

Participants in this group underwent robotic natural orifice specimen extraction surgery

Procedure: R-NOSES group

R-TSES group

Participants in this group underwent robotic transabdominal specimen extraction surgery

Procedure: R-TSES group

Interventions

R-NOSES groupPROCEDURE

robotic natural orifice specimen extraction surgery

R-NOSES group
R-TSES groupPROCEDURE

robotic transabdominal specimen extraction surgery

R-TSES group

Eligibility Criteria

Age20 Years - 86 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients who underwent R-NOSES or R-TSES for early-stage rectal cancer between October 2015 and November 2023.

You may qualify if:

  • histologically confirmed rectal adenocarcinoma
  • robotic TME for rectal adenocarcinoma
  • postoperative pathological staging of T1-2N0M0
  • complete surgical and postoperative follow-up information

You may not qualify if:

  • body mass index (BMI) ≥ 35 kg/m2
  • history of abdominal surgery
  • history of pelvic surgery
  • presence of another primary cancer
  • previous endoscopic submucosal dissection (ESD) or endoscopic mucosal resection (EMR)
  • anal or vaginal disease
  • ileostomy or transverse colostomy
  • conversion to open operation
  • tumor distant metastasis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

The Second Xiangya Hospital of Central South University

Changsha, Hunan, 410008, China

Location

Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Beijing, China

Location

Three Gorges Hospital Affiliated to Chongqing University

Chongqing, China

Location

Fujian Cancer Hospital

Fuzhou, China

Location

The Second Affiliated Hospital of Harbin Medical University

Harbin, China

Location

The First Affiliated Hospital of Nanchang University

Nanchang, China

Location

Zhongshan Hospital, Fudan University

Shanghai, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, China

Location

MeSH Terms

Conditions

Rectal Neoplasms

Condition Hierarchy (Ancestors)

Colorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesRectal Diseases

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

May 4, 2024

First Posted

May 8, 2024

Study Start

October 1, 2023

Primary Completion

January 15, 2024

Study Completion

January 15, 2024

Last Updated

May 13, 2024

Record last verified: 2024-05

Locations