Colorectal Cancer Metastatic
Conditions
Keywords
colorectal cancer metastatic, indocyanine green
Brief summary
Between 30% and 40% of patients with colorectal cancer develop metastatic disease intraperitoneally. The optimal treatment of this disease combines surgery and chemotherapy but requires resection of all lesions larger than 2mm. Indocyanine green has an affinity for tumor tissues and the interest of its use has been demonstrated for the detection of sentinel lymph node and some liver surgeries. The ability of indocyanine green to detect peritoneal carcinomatosis in humans has never been evaluated. This study aims to evaluate the diagnostic performance of fluorescence in the detection of malignant cells in peritoneal carcinomatosis of colorectal origin compared with pathological analysis.
Interventions
intravenous injection (0.25mg/kg) of the indocyanine green 24h before the surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient with progressive colorectal cancer in intra-abdominal surgery requiring resection + / - Chemotherapy Hyperthermic Intraperitoneal * Aged 18 to 70 inclusive * Signature information form and consent by the patient
Exclusion criteria
* Pregnant women, a urine pregnancy test or blood will be realized within 72 hours before surgery * Contraindication to surgery * Diagnosis not confirmed colorectal adenocarcinoma * Persons major subject of legal protection or unable to consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity (true positive) of the fluorescence ex vivo compared to histological analysis s detected by fluorescence ex vivo | At the end of the surgery | Sensitivity (true positive) of the fluorescence ex vivo compared to histological analysis s detected by fluorescence ex vivo |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Specificity (true negative) of the in-vivo fluorescence compared to histological analysis s detected by fluorescence ex vivo peritoneal cancer index (PCI) score with and without fluorescence | At the end of the surgery | Specificity (true negative) of the in-vivo fluorescence compared to histological analysis s detected by fluorescence ex vivo PCI score with and without fluorescence |
| Specificity (true negative) of the in-vivo fluorescence compared to histological analysis s detected by fluorescence ex vivo PCI score with and without fluorescence | At de begining of the surgery | Specificity (true negative) of the in-vivo fluorescence compared to histological analysis s detected by fluorescence ex vivo PCI score with and without fluorescence |
Countries
France