Laparoscopic Splenic Flexure Mobilization

Ain Shams University

Status: Completed

Conditions: Splenic Flexure Mobilization

Treatments: Procedure: Laparoscopic high anterior resection splenic flexure mobilization; Procedure: Laparoscopic high anterior resection without splenic flexure mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT03001375

6379

Details and patient eligibility

About

This retrospective cohort study conducted on 140 patients who underwent laparoscopic anterior resection for upper rectal cancer in the period from May 2011 to November 2015, comparison will be done on splenic flexure mobilization excluding .

Full description

Presently, it is acknowledged that laparoscopic colectomy for left sided colorectal cancer is the most common surgery operated in laparoscopic colorectal surgeries, However the most debatable question in such type of operations that is it mandatory to do splenic flexure mobilization or not? In the literatures colorectal surgeons divided into 2 teams, those with splenic flexure mobilization in laparoscopic left colorectal resection to have tension free, well vascularized anastomosis On the other hand those against splenic flexure mobilization reported that omitting this step does not significantly affect the leakage rate, morbidity or the oncological outcomes In this study, we evaluate the necessity of splenic flexure mobilization in laparoscopic anterior resection for upper rectal tumors and its impact on the operative time, total morbidity, leakage rate, oncological safety and continence level

Enrollment: 140 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with upper rectal tumors.

Exclusion criteria

• Low and mid rectal cancer
• Splenic flexure tumors, descending colon cancer,
• patients with associated lesions in the right or transverse colon
• Emergency cases.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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140 participants in 2 patient groups

Mobilization group

Active Comparator group

Description:

Laparoscopic splenic flexure mobilization will be done.

Treatment:

Procedure: Laparoscopic high anterior resection splenic flexure mobilization

Non mobilization group

Active Comparator group

Description:

No mobilization of splenic flexure.

Treatment:

Procedure: Laparoscopic high anterior resection without splenic flexure mobilization