Cancer Colon, Intracorporeal Anastomosis, Laparoscopic Colectomy
Conditions
Keywords
laparoscopic, intracorporeal, extracorporeal, anastomosis, hemicolectomies, , colonic cance
Brief summary
The aim of this study is to compare the Surgical outcomes after laparoscopic intracorporeal versus extracorporeal anastomosis for right and left hemicolectomies in management of colonic cancers .
Detailed description
This is clinical trial ,Interventional quasi experiment study to evaluate the surgical outcomes between intracorporeal versus extracorporeal anastomosis in laparoscopic right and left hemicolectomies including post operative pain, hospital stay, leakage from anastomosis, early recurrence, hernias patient satisfaction operative time and more surgical outcomes. In Egyptian hospitals. Source of data the investigators follow up and medical reports and more . surgical procedures This trial including two groups of patients with right and left cancer colon undergoing Laparoscopic colectomy. First group (A) will be operated as intracorporeal anastomosis while the second group (B) will be operated as extracorporeal anastomosis. Sample size more than 50 person Statistical analysis plan Statistical Package for the Social Sciences (SPSS) program
Interventions
laparoscopic intracorporeal versus extracorporeal anastomosis for right and left hemicolectomies in management of colonic cancers
Sponsors
Study design
Intervention model description
right and left hemicolectomies in colonic cancers
Eligibility
Inclusion criteria
* Patients had to present histologically confirmed cancer( right and left) colon. * All grades of cancer will be included. * Cancer at cecum ,appendix, ascending colon, hepatic flexure or at splenic flexure , descending colon and sigmoid colon.
Exclusion criteria
* Locally advanced disease with invasion of adjacent important organs. * Acute bowel obstruction or perforation from cancer. * Pregnant ladies. * Rectal cancer and transverse colon cancer.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative time of surgery | intraoperative time of surgery | intraoperative time of surgery by minutes |
| post operative hospital stay | up to 1 year | post operative hospital stay by days |
| Post operative leakage | 1 year | Post operative leakage of anastomosis by follow up ultrasound, Abdominal Xray erect & wound infection |
| early recurrence of the cancer | 6 months after surgery | early recurrence of the cancer by CT scan |
Countries
Egypt