Right-sided colon cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. age 18-80 years. 2. ECOG score = 2. 3. histologically or cytologically confirmed adenocarcinoma of the right hemicolectum. 4. preoperative stage: T1-3N0M0. 5. 3 to 5 cm circumferential diameter of the specimen for transvaginal NOSES. 6. preoperative examination not suggestive of metastasis or implantation, invasion of adjacent organs. 7. cardiopulmonary, hepatic, and renal function capable of tolerating the procedure. 8. Sign the informed consent form. 9. Patients with transvaginal NOSES without fertility needs
Exclusion criteria
Exclusion criteria: 1. patients who are not suitable for robotic laparoscopic surgery 2. tumours too large to be dragged out vaginally 3. Patients who are overly obese, with a BMI = 35 kg/m2 4. Excessive hypertrophy of the right hemicolectomy, which makes transvaginal extraction difficult. 5. simultaneous multiple primary cancers. 6. tumour causing intestinal obstruction or perforation 7. history of severe mental illness. 8. Combined acute gynaecological infections, vaginal malformations or unmarried infertile women and married women planning to have another child.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain evaluation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life;Postoperative stress response and immune function status;Positive rate of tumor cells and bacterial culture;Scar evaluation;Sexual function evaluation;Complication rate during surgery and within 30 days after surgery;Mortality during hospitalization or within 30 days after surgery;Evaluation of recovery situation;days in hospital after surgery;Direct costs during hospitalization;Quality of the surgical specimens and the postoperative pathology; | — |
Countries
China
Contacts
the First Affiliated Hospital of Nanchang University