Colorectal Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. aged 18 Years to 75 Years; 2. pathological proved CRC adenocarcinoma by endoscopic biopsy; 3. located in rectum or sigmoid colon; 4. preoperative clinical T1-3NxM0; 5. the diameter of tumor is less than 5cm or the extent of invasion less than 1/2 circle of bowel wall if tumor located in low rectum; 6. BMI <=34kg/m2; 7. Patient able to understand and sign written informed consent.
Exclusion criteria
Exclusion criteria: 1. Other malignant tumors history; 2. Multiple colorectal cancer; 3. Patients are to be received the abdominal perineal resection; 4. local resection; 5. There are contraindications for laparoscopic surgery; 6. Repeated abdominal pelvic surgery or extensive abdominal adhesions; 7. Complications need emergency surgery (occlusion, sub-occlusion, massive hemorrhage and abscesses); 8. Colorectal tumor extension towards abdominal wall and/or adjacent organ making liver R0 resection impossible immediately; 9. FAP or Lynch syndrome or patients with active inflammatory bowel disease; 10. American Society of Anesthesiologists (ASA) grading >=IV and/or, Eastern Cooperative Oncology Group(ECOG) score >= 2 11. Patients with severe liver and kidney function, cardiopulmonary function, coagulopathy or a serious underlying disease that cannot tolerate surgery; 12. Physical or psychological dependence; 13. Pregnant or breast feeding women; 14. Not controlled pre-operational infection; 15. Other clinical or laboratorial condition not recommended by investigators; 16. Previous anal disease caused by anal dysfunction or anal stenosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 3-year local recurrence rate; | — |
Countries
China
Contacts
Cancer Hospital, Chinese Academy of Medical Sciences