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A randomised study of stapling and suturing techniques of bowel anastomosis in colorectal cancer surgery

A comparative study of stapling and suturing techniques of colorectal anastomotie closure (Ana-Clo): A prospective, double-arm, mono-center, randomized, interventional study to compare stapling and suturing during colorectal anastomosis to evaluate the safety and performance in a real-world setting. - AnaClo

Status
Active, not recruiting
Phases
Phase 4
Study type
Observational
Source
CTRI
Registry ID
CTRI/2025/06/088336
Enrollment
68
Registered
2025-06-05
Start date
Unknown
Completion date
Unknown
Last updated
2025-06-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K940- Colostomy complications

Interventions

Intervention1: NIL: NIL Control Intervention1: NIL: NIL

Sponsors

Basavatarakam Indo American Cancer Hospital
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.Subjects aged above 18 years 2.The Subject must be treated with staplers or suture. 3.Subjects who will undergo an anastomotic procedure throughout the colon and rectal. 4.The Subject is willing and able to provide written Informed Consent by signing and dating the IRB or EC approved Informed Consent form. 5.If the Subject is not able to understand fill out the informed consent form on behalf of the Subject, the Subjects LAR will fill in the informed consent form. 6.The Subject is willing and able to comply with postoperative scheduled clinical evaluations. 7. Subjects who are able to give voluntary, written informed consent to participate in this clinical investigation and from whom consent has been obtained.

Exclusion criteria

Exclusion criteria: 1.Subject aged below 18 years. 2.Pregnant women must be excluded from the study 3.Subject having any previous anal surgery. 4.Subject with any other anal pathology like fissure, anal stenosis, rectal prolapse, etc. 5.Subject with anti-coagulant treatment. 6.Subjects with complications such as intestinal perforation and peritonitis and instability of vital signs must be excluded. 7.The Subject with intestinal chronic inflammatory disease must be excluded. 8.The Subject is not eligible for the study without informed consent. 9.Tissues that can be compressed to less than 1 mm in thickness are not suitable for the application of the staplers, as inadequate staple tightness may compromise hemostasis. 10.Tissues that cannot be comfortably compressed to 2.5 mm in thickness are ineligible for the application of the staplers. 11.The use of the staplers is not recommended for the Subject, where visual verification of hemostasis adequacy cannot be confirmed after firing. 12.The staplers should not be utilized for stapling tissues presenting features such as necrosis, friability, or compromised integrity, such as features such as necrosis, friability, or compromised integrity, such as ischemic or edematous conditions.

Design outcomes

Primary

MeasureTime frame
1.Completion time for anastomosis 2.Technical success 3.Intra-operative complications/Adverse event/ SAETimepoint: 1.Time Frame: Intraoperative 2.Time Frame: Intraoperative, 7 days 2 days, 30 days 5 days, 3 months 7 days, 6 months 15 days 3. Time Frame: Intra-operative

Secondary

MeasureTime frame
1.Stapling misfunction rate 2.Imaging / radiographic imaging 3.Device-related early complications [ 4.Re-operation 5.Adverse Events 6.Evaluation of Quality of Life 7.Length of hospital stayTimepoint: 1.Time Frame: Intra-operative 2.Time Frame: postoperative, 7 days 2 days, 30 days 5 days, 3 months 7 days, 6 months 15 days, or prior to death, whichever came first 3.Time Frame: 7 days 2 days, 30 days 5 days 4.Time Frame: 7 days 2 days, 30 days 5 days, 3 months 7 days, 6 months 15 days, or prior to death, whichever came first 5.Time Frame: 7 days 2 days, 30 days 5 days, 3 months 7 days, 6 months 15 days, or prior to death, whichever came first 6.Time Frame: Baseline, 7 days 2 days, 30 days 5 days, 3 months 7 days, 6 months 15 days, and or prior to death, whichever came first 7.Time Frame: From Admission to discharge

Countries

India

Contacts

Public ContactDr Srijan Shukla

Basavatarakam Indo American Cancer Hospital

srijan@basavatarakam.org9099017262

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026