Rectal Cancer
Conditions
Interventions
Group 1:Partial retention of the Denonvilliers fascia
Group 2:The Denonvilliers fascia is completely retained
Sponsors
Fujian Medical University Union Hospital y
Eligibility
Sex/Gender
Male
Age
20 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1) Aged 20-75 years; 2) Male; 3) Rectal adenocarcinoma was confirmed by pathology; 4) Low rectal cancer (primary magnetic resonance MRI examination showed that the lower margin of the tumor was ?7cm from the anal margin); 5) Preoperative clinical staging was CT1-3N0-2M0 (according to AJCC-8TH TNM tumor stage); 6) Preoperative heart, lung, liver and kidney functions can be tolerated; 7) Preoperative ASA score level I-III; 8) To undergo elective TME surgery for colon-rectal or colon-anal anastomosis; 9) Normal preoperative sexual function and urine function (IIEF-5 >= 22 points;I-pss: 0-7 points); 10) Patients and their families can understand the study plan and are willing to participate in the study and sign the informed consent.
Exclusion criteria
Exclusion criteria: 1) Simultaneous or heterogeneous (within 5 years) malignant tumors; 2) Patients with intestinal obstruction, intestinal perforation, intestinal bleeding and other conditions requiring emergency surgical resection; 3) Prior pelvic and urinary surgery; 4) Serious mental illness; 5) Patients with severe emphysema, interstitial pneumonia or ischemic heart disease who cannot tolerate surgery; 6) A history of unstable angina pectoris or myocardial infarction within 6 months; 7) A history of cerebral infarction or cerebral hemorrhage within 6 months; 8) A history of continuous systemic corticosteroid therapy within 1 month; 9) Need concurrent surgical treatment for other diseases; 10) Preoperative urinary incontinence or severe stress incontinence; 11) Unable to cooperate with physician to complete functional assessment; 12) Patients have contraindications in laparoscopic or robotic surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sexual function after surgery ; | — |
Secondary
| Measure | Time frame |
|---|---|
| Urination function;Postoperative complications and 30-day mortality; | — |
Countries
China
Contacts
Public ContactChi Pan
Fujian Medical University Union Hospital
Outcome results
None listed