Colon Cancer
Conditions
Keywords
Right colon cancer, D3 dissection, complete mesocolic excision, Hemicolectomy
Brief summary
Comparing different method of surgical technique D2 lymph node dissection vs D3 for right colon cancer.
Interventions
Remove right part of colon with lymph node dissection №201, №202, №211, №212 (if present), №221,№222 (Japanese classification).
Remove right part of colon with lymph node dissection №201, №202, № 203, №211, №212 (if present), №213 (if present) №221,№222, №223 (for hepatic flexure and proximal part of transverse colon cancer)(Japanese classification).
Sponsors
Study design
Eligibility
Inclusion criteria
1. Agreement of the patient to participate in trial 2. Colon cancer (only adenocarcinoma ) 3. The tumor located between the cecum and the right 1/3 of transverse colon 4. Tumors T3,Т4а,b N0-2 (II-III stages) 5. Tolerance of chemotherapy 6. ECOG 0-2
Exclusion criteria
1. Patients with distant metastases 2. Tumors T1-2 (I stage) 3. Complications of tumor (perforation and full bowel obstruction) 4. Previous radiotherapy or chemotherapy 5. Synchronous or metachronous tumors 6. Women during Pregnancy or breast feeding period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 5-year survival | Up to 5 years post-operative | death from any cause |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| morbidity | within the first 30 days after surgery | postoperative complications |
| mortality | within the first 30 days after surgery | death after surgery |
| Disease free survival 5 years after initial surgery | Up to 5 years post-operative | local and distant metastasis during 5 years after operation |
Countries
Ukraine