colon cancer colon cancer
Conditions
Interventions
Laparoscopic surgery, which is performed in routine practice, is performed using an endoscopic system with an 8K super-vision system, with surgical support from a remote supervising physician. Treatme
remote surgical assistance
Sponsors
Yukihide Kanemitsu
Japan Agency for Medical Research and Development
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Endoscopic biopsy from the primary colorectal site with histological diagnosis of colorectal cancer (pap, tub1, tub2, por1, por2, sig, or muc). 2) The tumor is predominantly located in either the sigmoid colon (S) or the sigmoid region of the rectum (RS) as comprehensively determined by endoscopy (with enterography if necessary) and CT of the upper abdomen and pelvis. 3) Patient has a diagnosis of cT2-4 based on comprehensive diagnosis using endoscopy and preoperative imaging (enterography or upper abdominal and pelvic CT). 4) Patients must be between 20 and 80 years of age on the date of enrollment. 5) PS (ECOG) is 0 or 1 (PS must be documented in the medical record). 6) All of the following conditions are met. (All laboratory tests must be the most recent within 56 days prior to enrollment. Testing on the same day of the week 8 weeks prior to enrollment is acceptable.) I.White blood cell count >=3,000/mm3 II.Platelet count >=100,000/mm3 III.AST <= 100 U/mm3 IV.AST <= 100 U/L, ALT <= 100U/L V.Total bilirubin <= 2.0 mg/dl VI.Serum creatinine <=1.5 mg/dl
Exclusion criteria
Exclusion criteria: 1) Patients with suspected metastasis to other organs. 2) Patients with impaired cardiopulmonary function who have difficulty insufflating. 3) Patients with impaired cardiopulmonary function and difficulty changing positions during surgery due to joint movement disorder. 4) Women who are pregnant, possibly pregnant, within 28 days postpartum, or breastfeeding. 5) Patients with psychosis or psychiatric symptoms that make it difficult for them to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of time for remote surgical assistance | — |
Secondary
| Measure | Time frame |
|---|---|
| Operation time, blood loss, rate of intraoperative complications, rate of open conversion, participant surveys, qualitative evaluation of surgical videos and evaluation of communication failures | — |
Contacts
Public ContactMoritani konosuke
National Cancer Center Hospital
Outcome results
None listed