Colorectal Cancer Stage III
Conditions
Keywords
Colorectal cancer, Indocyanine green, prognosis
Brief summary
Previous studies of Indocyanine green (ICG) in colorectal surgery have focused on lymphatic mapping, lymph node detection, and the number of harvested lymph nodes. However, relatively few studies have evaluated the outcomes of this imaging technology, especially the prognosis following of colorectal cancer resection. The present study assessed the prognosis of stage III colorectal cancer patients following ICG fluorescence-guided surgery as compared to conventional surgery without the use of ICG Fluorescence imaging
Interventions
All patients underwent standard complete mesocolic excision (CME) or total mesorectal excision (TME) with curable purpose using ICG lymphangiography procedure
Sponsors
Study design
Eligibility
Inclusion criteria
* age \> 18 years, * confirmed diagnosis of primary CRC, * preoperative tumor stage of cT1 to cT4, N+, M0 as determined by contrast-enhanced computed tomography (CT), * no distant metastasis, and * American Society of Anesthesiologists(ASA)Physical Status Classification score of 1, 2, or 3
Exclusion criteria
* history of previous colorectal surgery, emergent surgery, or palliative resection; * pregnancy or breastfeeding; * allergy or history of an adverse reaction to ICG * severe mental disorder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease-free survival (DFS) rate | From radical surgery to the end of follow-up ,up to 36 months | the rate of of no recurrence or metastasis after 3 years from radical surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the number of harvested lymph nodes | From radical surgery to the end of perioperative period at 1 month | the number of harvested lymph nodes of radical surgery |
| Postoperative complications | From radical surgery to the end of perioperative period at 1 month | Postoperative complications ICG-related complications, surgery-related complications, and systemic complications. Postoperative complications were graded according to the Clavien-Dindo system |
| Overall survival rate | From radical surgery to the end of follow-up ,up to 36 months | the rate of 3 years overall survival after radical surgery |
Countries
China