Rectal Cancer
Conditions
Keywords
laparoscopy, rectal cancer, pelvic autonomic nerve
Brief summary
The purpose of this study is to determine: (1) whether laparoscopy-assisted nerve-preserved total mesorectal excision (LNTME) is as safe as open TME for rectal cancer, and (2) whether LNTME is more effective for protection of pelvic autonomic nerve function from surgical impairing when comparing to open TME.
Interventions
Patients in this group received laparoscopy-assisted nerve-preserved TME for treatment of rectal cancer
Patients in this group received traditional open TME for treatment of rectal cancer
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male patients 2. From 18 years old to 60 years old 3. Normal sexual function 4. Tumor located in rectum (defined as 5- to 12-cm from the anal verge) 5. Pathological confirmed rectal cancer 6. Preoperative T stage ranging from T1 to T4a according to the 7th Edition of AJCC Cancer Staging Manual 7. Tumor size \< 5 cm 8. ASA score was I-II 9. Informed consent was written
Exclusion criteria
1. Distant cancer metastasis 2. History of abdominal surgery 3. With other type of malignancy 4. Preoperative voiding dysfunction 5. Preoperative sexual dysfunction 6. Refusing to attend this trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative complications including bleeding, anastomotic leakage, postoperative infection, organ dysfunctions. | postoperative 30 days |
| The postoperative sexual function assessed by IIEF questionnaire | postoperative one year |
| The postoperative voiding function assessed by IPSS questionnaire. | postoperative one year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | an expected average of 180 minutes | — |
| C-reactive protein | postoperative 7 days | serum C-reactive protein level after operation |
| Postoperative deaths | postoperative 30 days | — |
| The length postoperative hospital stay | an expected average 8 days | — |