rectal carcinoma C20
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria : 1) Solitary adenocarcinoma rectal cancer within 10 cm from anal verge defined by MRI 2) Stage 1-3 according to the AJCC classification including downstaged tumours based on adequate imaging of the thorax and abdomen 3) Intention for LAR with colorectal anastomosis or with coloanal anastomosis 4) Suitable for elective laparoscopic surgical resection 5) Informed consent according to local requirements
Exclusion criteria
Exclusion criteria: Exclusion criteria: 1) T3 tumour with margins less than 1 mm to the mesorectal fascia or T4 tumour, determined by MRI-scan (staged after (chemo/radiotherapy if applicable) 2) Intention for complete intersphincteric APR with coloanal anastomosis 3) Malignancy other than adenocarcinoma at histological examination 4) Patients under 18 years of age 5) Pregnancy 6) Previous prostate or rectal surgery (excluding local excision) 8) Signs of acute intestinal obstruction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Outcome: local recurrence after 3 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary Outcomes: Quality of specimen, involved CRM, morbidity and mortalityresidual mesorectum, DFS, OS, sphincter saving procedures, functional outcome, HrQoL The following questionnaires are to be completed: CR 29 QLQ-C30 LAR questionnaire EQ 5 bow The questionnaires are on the function of the rectum and pelvic floor muscles shortly before the operation as well as 1,3,6,12,24, and 36 months after the operation. Three years after the operation a computer tomography or magnetic resonance imaging of the pelvis is performed. | — |
Countries
Germany, Netherlands, Spain, United Kingdom
Contacts
Klinik für Chirurgie