early colon tumor
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) preoperative endoscopic diagnosis is colon cancer 2) preorerative endoscopic diagnosis of tumor size is 20 mm or more. 3)preorerative endoscopic diagnosis of tumor size isTumor depth of Tis(M)~T1a(SM1) 4)Aged 20 years old or more. 5)ECOG performance status of 0,1or2 6)Written informed consent
Exclusion criteria
Exclusion criteria: 1) Past history of colorectomy 2) lesion on preoperative scar (EMR or ESD) 3)Familial adenomatous polyposis 4) Inflamatory bowel disease 5)Infectious disease with systemic therapy indicated. 6) Patints have difficulty taking bowel preparation 7) Women during pregnancy or breast-feeding 8) Patients with serious comorbidities 9)Patients who did not agree to participate in this clinical trial 10)Unsuitable patient for clinical trial judged by clinicians' view.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ESD procedure time | — |
Secondary
| Measure | Time frame |
|---|---|
| 1,2,3)ESD procedure time according to the location of the lesion, Macroscopic type, traction type 4) the rate of conversion case from conventional ESD to counter-traction ESD 5,6,7) procedure time of hemostasis; times of hemostasis; total quantity of injected solutions into the submucosa 8)damage of specimen caused by counter-traction 9)en bloc resection rate 10)complete en bloc resection rate 11) serious adverse events 12) the rate of snaring or Hybrid ESD due to difficulty of ESD | — |
Countries
Japan
Contacts
Nihon University School of Medicine Division of Gastroenterology and Hepatology, Department of Medicine