Lower rectal cancer involving the prostate
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Male patients with locally advanced rectal cancer involving the prostate clinically. 2.Pathological proven adenocarcinoma. 3.Possible to be preservation of the sphincter urethrae. 4.With or Without anus-preservation. 5.No distant metastasis. 6.Normal length of the small intestine. 7.Aged 20 to 75 years old. 8.PS(ECOG) of 0 or 1. 9.Enough organ functions. WBC count : >=3000/mm3 Platelet count : >=70000/mm3 Hemoglobin : >=8.0g/dl T-Bil : <=1.5mg/dl AST : <=100IU/l ALT : <=100IU/l Cr : <=1.5mg/dl Alb : >=2.8g/dl 10. With or Without previous radiotherapy and chemotherapy. 11. Writhen informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with request of total pelvic exenteration (TPE), or patients without request of the ileal flap operation. 2. Impossible to be curative resection. 3. Patients with serious disease as follows. Uncontrollable diabetes mellitus(Hba1c >=8%) renal failure requiring artificial dialysis. requiring immunosuppressants 4. Patients with serious organ failure. 5. Cannot agree on this study. 6. Unsuitable patients for this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cysto-urethral anastomotic leak rate at postoperative one month. | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of major leakage in cysto-urethral anastomosis. Healing term of CUA leakage. Safety of flap operation. | — |
Countries
Japan
Contacts
National Cancer Center Hospital East Colorectal and Pelvic Surgery