Rectal Cancer
Conditions
Brief summary
1. To observe and measure the distance between the origin of LCA (left colonic artery，LCA) and IMA (inferior mesenteric artery，IMA) root and the distance between IMA and IMV (inferior mesenteric vein，IMV) at the origin of LCA in rectal cancer patients. Statistical analysis of intraoperative measured data, on the basis of the original anatomical relationship, to achieve anatomical localization of quantitative and accurate, for the preservation of LCA laparoscopic radical resection of rectal cancer to provide a strong anatomical basis. 2. The operation time, 253 lymph node dissection time, intraoperative blood loss, postoperative anal exhaust time, postoperative feeding time, postoperative hospital stay, postoperative ischemic colitis rate and postoperative anastomotic leakage rate of patients with laparoscopic radical resection of rectal cancer with preservation of LCA were recorded. The surgical efficacy and clinical significance of laparoscopic radical resection of rectal cancer with preservation of LCA were evaluated.
Interventions
BEHAVIORALmeasurement group
Measurement of the distance between the origin of LCA (left colonic artery，LCA) and IMA (inferior mesenteric artery，IMA) root and the distance between IMA and IMV (inferior mesenteric vein，IMV) at the origin of LCA in rectal cancer patients
Sponsors
Tang-Du Hospital
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Inclusion criteria
* Pathological diagnosis of rectal cancer (T2-4a, N- / +, M0) ; Laparoscopic radical resection of rectal cancer and preservation of LCA Patients and their families agree to participate in the clinical study
Exclusion criteria
* Those who had a history of lower abdominal surgery and could not undergo laparoscopic surgery LCA vascular absence was found during operation combined with other malignant tumors pregnant or lactating patients Combined with severe mental illness Severe diseases of the blood system, coagulation dysfunction ; Preoperative assessment of heart, lung and brain function, unable to tolerate surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Distance between LCA and IMA | intraoperative | Measurement of the distance between the origin of LCA (left colonic artery，LCA) and IMA (inferior mesenteric artery，IMA) root |
| The distance from LCA to IMA and IMV | intraoperative | Measurement of the distance between IMA and IMV (inferior mesenteric vein，IMV) at the origin of LCA |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative blood loss | intraoperative | Record intraoperative bleeding |
| exhaust time | Within one week after operation | Record the time of patient's first exhausting time after operation |
| operation time | intraoperative | From the beginning of anesthesia to the patient leaving the operating room |
| postoperative hospital time | Within two weeks after operation | Record the days from surgery to discharge |
| postoperative anastomotic leakage rate | One month after operation | Record the situation of patient's anastomotic leakage |
| postoperative feeding time | Within one week after operation | Record the time of the patient's first meal after operation |
| 253 lymph node dissection time | intraoperative | Record the time required to dissection 253 lymph node |
Countries
China
Contacts
Primary ContactNan Wang, Dr
Outcome results
None listed