rectal cancer and sigmoid colon cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patient has a preoperative diagnosis of early-stage rectal cancer or sigmoid colon cancer (including suspected cancer) measuring 2-5 cm 2) Scheduled to undergo ESD 3) At least 20 years old 4) PS 0-1 5) Informed consent has been obtained.
Exclusion criteria
Exclusion criteria: 1) Patients with a bleeding tendency (specifically if the following applies). *Platelet count less than 50,000/mm3 or PT-INR 2 or higher under non-compliance with anticoagulants. *Liver cirrhosis, Child-Pugh score B-C. *Chronic renal failure needs dialysis. 2) Patients who are unable to withdraw antithrombotic medications based on the guidelines. 3) Post-ESD mucosal defects overlying the anal verge. 4) History of abdominal or pelvic surgical resection. 5) History of radiation to the abdominal or pelvic region. 6) Patients whose attending physician determines that participation in this study is inappropriate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Suture retention on postoperative days 3-4. Suture time with a modified flexible needle holder. | — |
Countries
Japan
Contacts
National Cancer Center Hospital Endoscopy Division