Rectal Cancer, Adenocarcinoma
Conditions
Brief summary
Background: Single-port laparoscopic surgery is emerging as a method to improve morbidity and cosmetic benefits of conventional laparoscopic surgery and minimize the surgical trauma. However, the feasibility of this procedure in rectal surgery has not been determined yet. The aim of this study is to evaluate our initial experience using single port access in laparoscopic rectal surgery. Design: randomized, prospective clinical study Patients: 40 patients
Interventions
Single incision laparoscopic surgery for rectal cancer
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients \> 18 years of age. * ASA I-III. * Tumor-location: maximum 15 cm from the anal verge. * No involvement of neighbouring organs. * No distant metastasis.
Exclusion criteria
* Linguistic, physical or psychological barriers precluding oral and written consent. * History of intestinal surgery (excl. appendectomy).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| morbidity | 30 days | The purpose of this study is to compare 30-days postoperative morbidity between the two groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| immunology | 72 hours postoperatively | to compare results of blood-samples (C-reactive protein, leucocyte-count and interleukin-6) 72 hours postoperatively between the two groups |
| postoperative outcome | 5 days postoperatively | to compare postoperative results (postoperative pain, time to bowel function, time to regain full diet and mobilisation) between the two groups. |
| oncology | 30 days | Comparison of the oncological results (quality of specimen, completeness of mesorectal fascia, circumferential resection margin, number of harvested lymphnodes, TNM-classification) between the two groups. |
Countries
Denmark