Prospective Study of Extended Robotic Right Hemicolectomy With Complete Mesocolic Excision for Cancer
A Single Center Prospective Study Comparing Robot-assisted and Open Operation With Complete Mesocolic Excision (CME) in Extended Right Colectomy for Colon Cancer in the Right Flexure and Transverse Colon
Vejle Hospital
40 participants
May 18, 2020
INTERVENTIONAL
Conditions
Summary
A single-center prospective study to elucidate whether extended robot-assisted right colectomy (e-RARC) performs as well as extended open right colectomy (e-ORC) in terms of specimen quality, and in addition, whether less postoperative morbidity and shorter length of stay (LOS) can be attained. Patients with colonic cancer near the right flexure or the oral part of the transverse colon will be compared excluding the most technically demanding and frail patients in both groups. A total of 40 patients undergoing e-RARC in a prospective series will be included and compared with 44 consecutive patients previously treated with e-ORC.
Eligibility
Inclusion Criteria4
- Suspected or verified colonic cancer visualized by colonoscopy and on CT in the anal part of the ascending colon, in the right flexure or in the oral 2/3 of the transverse colon
- Patient is 18 years or older, legally competent and able to comprehend information and give consent
- Tumor is UICC stage I-III on preop CT
- Operation is elective
Exclusion Criteria6
- Previous major open intraabdominal surgery
- Ileus or other acute abdominal condition
- CT scan with suspicion of T4 tumor
- RITA score \> 3 (Preop risk and frailty score)
- BMI \> 35 kg/m2
- Project surgeon not available
Interventions
An extended right hemicolectomy with total mesocolic excision and meticulous central dissection as described by Hohenberger will be performed with the DaVinci Xi robot by one of two dedicated surgeons
Locations(1)
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NCT04190589