Colon Cancer
Conditions
Brief summary
The main goal of this study is to clarify if Robotic-assisted surgery could become the standard approach in patients undergoing left colonic resection. Patient candidates to left colonic resection were randomly assigned to Robotic(RAL) or laparoscopic(LL) approach. The surgical staff who were not involved in the study registered 30-day postoperative morbidity. Cost-benefit analysis was based on hospital days. Long-term morbidity, quality of life, and 5-year survival have also been evaluated
Detailed description
Robotic-assisted Left Hemicolectomy as advantages on showing the inferior mesenteric artery (IMA), protection of autonomic nerve compare to laparoscopic approach. Our experience found that operational flexibility was advantage without surgeon's position exchange.
Interventions
robotic assisted surgery was benefit to operation
conventional laparoscopic surgery
Sponsors
Study design
Eligibility
Inclusion criteria
Colon cancer adenocarcinoma The tumor located between the descending colon and the right 1/3 of transverse colon Tumors T3,Т4а,b N0-2 Tolerance of chemotherapy ECOG 0-2
Exclusion criteria
With distant metastases Tumors T1-2 Complications of tumor Women during Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 5-years overall survival rate | 5 years |
Secondary
| Measure | Time frame |
|---|---|
| Anastomosis leakage rate | 6 months |
| Operation Time | 1 day |
| Blood loss during operation | 1 day |
| Short-term morbidity rate | 30 days |
| C-reaction protein level | 7 days |
| Recovery time after surgery | 60 days |
| Complication incident rate of surgery | 1 day |
Countries
China