advanced rectal cancer
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Histologically diagnosed with rectal cancer 2) Diagnosed operable by preoperative examination and image diagnosis method 3) Tumor lower margin is less than or equal to 12 cm from the anal verge 4) Tumor location is rectosigmoid (RS), upper rectum (Ra), lower rectum (Rb), proctodeum (P) 5) "cT2-T4a and cN0-N3 and cM0" or "cT1-T4a and cN1-N3 and cM0" (Evaluate before preoperative treatment if patients will undergo preoperative treatment) 6) Diagnosed as not applicable for endoscopic resection 7) Scheduled for robot-assisted rectal resection in routine medical care (Informed consent has been obtained) 8) 20 years or older 9) Written informed consent for participation in this study has been obtained
Exclusion criteria
Exclusion criteria: 1) cT4b 2) Multiple rectal cancer (except Tis) 3) Multiple malignancies 4) Patients whose consent ability is judged to be insufficient (dementia etc.) 5) Other, patients judged inappropriate by investigators
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of CRM-negative | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of TME successful resection (CRM-negative, DM-negative and complete TME) Conversion to open surgery Intraoperative adverse effects Surgical outcomes (estimate blood loss, operative time, console time, number of lymph nodes harvested) Postoperative recovery of bowel function (time to first flatus/ stools/ intake of fluid and diet) Postoperative urinary function (residual urine volume/ I-PSS/ OABSS/ ICIQ-SF) Length of postoperative hospital stay Postoperative complications within 30 days after surgery (Clavien-Dindo classification grade III or more) Surgery-related mortality within 30 days after surgery Reoperation within 30 days after surgery 3-year local recurrence-free survival 3-year disease-free survival 3-year overall survival | — |
Countries
Japan
Contacts
The university of osaka hosupital Gastrointestinal surgery