Role of CT Angiography With Three-dimensional Reconstruction of Mesenteric Vessels in Planning and Performing of Laparoscopic Colorectal Resections (3DCT)

University of Roma La Sapienza

Status and phase: Completed; Phase 3

Conditions: Colorectal Laparoscopic Resection

Treatments: Procedure: Laparoscopic Right Hemicolectomy; Procedure: Laparoscopic Left Hemicolectomy; Procedure: Anterior Rectal Resection

Study type: Interventional

Funder types: Other

Identifiers

NCT01540448

DS-005

Details and patient eligibility

About

The aim of this study is to evaluate if the prior knowledge of the individual mesenteric vascular anatomy of patients represents an advantage in performing laparoscopic colorectal resections. The investigators want demonstrate that the three-dimensional reconstruction of colonic vascular anatomy, acquired with a CT angiography, may lead to a more effective and less extensive dissection and to a fewer intraoperative and postoperative complications.

Enrollment: 100 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• need of colorectal resection
• absence of preoperative CT scan

Exclusion criteria

• contraindications to laparoscopy
• ASA IV
• BMI > 40 Kg/m2
• need of non standard colonic resection

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

100 participants in 2 patient groups

No-3DCT

Active Comparator group

Description:

All patients were subjected to a CT scan with 3D mesenteric angiography but the surgeon was able to view the 3D reconstruction only after surgery.

Treatment:

Procedure: Anterior Rectal Resection

Procedure: Laparoscopic Right Hemicolectomy

Procedure: Laparoscopic Left Hemicolectomy

3DCT

Experimental group

Description:

All patients were subjected to a CT scan with 3D mesenteric angiography and the surgeon was able to view 3D reconstruction before and during laparoscopic colorectal resection.

Treatment:

Procedure: Anterior Rectal Resection

Procedure: Laparoscopic Right Hemicolectomy

Procedure: Laparoscopic Left Hemicolectomy