Colon Cancer
Conditions
Brief summary
The purpose of this study is to evaluate the midline extraction incision in patients with colon cancer. A prospective randomized controlled trial is conducted to compare midline extraction incision with off-midline extraction incision.
Detailed description
Laparoscopic colon surgery is less invasive and more cosmetic than open surgery. But the extraction-site incision is 4 to 5 cm, and it is the largest and most painful incision in laparoscopic colon surgery. The purpose of this study is to evaluate the midline extraction incision in patients with colon cancer. A prospective randomized controlled trial is conducted to compare midline extraction incision with off-midline extraction incision. The investigators hypothesize that the use of the midline extraction incision in laparoscopic colon surgery will result in more cosmetic effect and better quality of life compared to the off-midline extraction incision.
Interventions
Eligible patients are randomized to midline incision or off-midline incision group in laparoscopic colectomy
Sponsors
Study design
Eligibility
Inclusion criteria
* Tumor size is less than 5cm * No history of laparotomy * No bowel obstruction by tumor
Exclusion criteria
* Patients who can't respond to medical question * Patients who receive steroids or insulin therapy * Uncontrolled DM * Severe respiratory failure(HOT)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cosmetic effect | 1 year | Scar assessment score on the patient and observer scar assessment scale(POSAS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | 7 days, 14 days and 30 days | Questionnaire on the SF-36 v2 acute |
Other
| Measure | Time frame | Description |
|---|---|---|
| Incisional hernia | 1 year | Numbers of participants with incisional hernia |