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RecruitingNCT05911152SELECTEDUpdated Jun 27, 2023

Safety and Feasibility of Laparoscopic Intracorporeal Anastomosis for Colorectal Surgery- A Multiple Center Real World Study

An observational study in Colorectal Cancer, sponsored by Cancer Institute and Hospital, Chinese Academy of Medical Sciences. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-06-27.

Sponsored by Cancer Institute and Hospital, Chinese Academy of Medical Sciences · Observational

From the registry’s dates

  • Primary completion was expected by Jan 2024, 2 years 9 months ago, but the record still lists the study as recruiting.
  • Started Jan 2016; still recruiting 10 years 9 months later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
2,000
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The goal of this observational study is to explore the safety and feasibility of laparoscopic intracorporeal anastomosis in colorectal cancer surgery. The main questions it aims to answer are: 1. If intracorporeal anastomosis is safe in terms of short-term outcome? 2. If intracorporeal anastomosis can achieve the same oncological outcome as conventional extracorporeal anastomosis?

Read the detailed description

This study is a retrospective real-world research initiated by the Chinese Academy of Medical Sciences Cancer Hospital, including Cancer Hospital of the Chinese Academy of Medical Sciences, Shenzhen Hospital and Peking University First Hospital. The study aims to retrospectively analyze the clinical data of approximately 2,000 patients who underwent laparoscopic surgery with preoperative imaging staging of cT1-4aNanyM0 and pathological diagnosis of adenocarcinoma or high-grade intraepithelial neoplasia from April 2016 to April 2020. The patients will be divided into the intracorporeal anastomosis group (IA) and extracorporeal anastomosis group (EA) based on the surgical records. The primary endpoints of the study are 3-year disease-free survival (DFS) and 3-year overall survival (OS). The secondary endpoints include overall complication rate within 30 days, postoperative pain score, time to first flatus after surgery, time to first bowel movement after surgery, time to first oral intake after surgery, length of hospital stay, and postoperative quality of life.

02

Conditions studied

  • Colorectal Cancer

Keywords

  • Colorectal cancer
  • Minimally invasive surgery
  • Laparoscopic surgery
  • Intracorporeal anastomosis
03

In context

Colorectal Neoplasms

5,598 studies on the registry are indexed under Colorectal Neoplasms; 1,458 are open to participants now.

This study's planned enrollment of 2,000 is above the median of 250 across 1,226 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Cancer Institute and Hospital, Chinese Academy of Medical Sciences is the lead sponsor of 373 studies on the registry; 270 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients underwent laparoscopic colorectal surgery with intracorporeal or extracorporeal anastomosis

Inclusion criteria

  1. Patients voluntarily enrolled in this study and signed an informed consent form;
  2. Age: 18-75 years;
  3. Completion of colonoscopy and biopsy, with pathological confirmation of adenocarcinoma or high-grade intraepithelial neoplasia;
  4. Preoperative enhanced CT or MRI examination showing no evidence of distant metastasis;
  5. Preoperative staging as cT1-3NanyM0;
  6. Underwent laparoscopic surgery.

Exclusion criteria

Exclusion Criteria:

  1. Contraindications to laparoscopic surgery;
  2. Cases requiring emergency surgery due to acute bowel obstruction, perforation, or bleeding;
  3. Patients with distant metastasis;
  4. Patients with multiple primary colorectal cancers;
  5. Patients with a history of malignancy;
  6. Patients unwilling to sign the informed consent or unwilling to follow the study protocol for follow-up.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
2,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Intracorporeal anastomosis

    Patients underwent laparoscopic colorectal surgery with intracorporeal anastomosis

    Procedure: Intracorporeal anastomosis

  • Extracorporeal anastomosis

    Patients underwent laparoscopic colorectal surgery with extracorporeal anastomosis

Interventions

  • ProcedureIntracorporeal anastomosis

    Surgeons perform totally laparoscopic intracorporeal digestive reconstruction after specimen resection

06

What researchers measure

Primary outcomes

  1. 3-year disease free survival

    Proportion of patients who remain alive without any signs or symptoms of disease recurrence or progression for a period of 3 years after surgery

    Time frame: 3 year

  2. 3-year overall survival

    Percentage of patients who are still alive at the end of a 3-year period after surgery

    Time frame: 3 year

Secondary outcomes

  1. Rate of postoperative complications

    Rate of postoperative complications within 30 days after surgery

    Time frame: 30 days

  2. Time to first flatus after surgery

    Time to first flatus after surgery

    Time frame: 7 days

  3. Time to first stool after surgery

    Time to first stool after surgery

    Time frame: 7 days

  4. Length of stay after surgery

    Length of stay after surgery

    Time frame: 30 days

  5. Postoperative pain score

    VAS (Visual Analog Scale) score is used to assess the postoperative pain level in patients. It is a measurement tool used to assess the intensity or severity of a subjective experience, typically related to pain or discomfort. The VAS score involves a straight line or a numerical scale ranging from 0 to 10, where 0 represents no pain or discomfort and 10 represents the worst possible pain or discomfort. Individuals are asked to indicate their level of pain or discomfort by marking a point on the scale, and the score is determined by measuring the distance from the 0 mark to the marked point. The VAS score provides a subjective assessment of pain or discomfort experienced by an individual.

    Time frame: 3 days

07

Study locations

1 of 1 sites recruiting
  • Cancer Hospital Chinese Academy of Medical Sciences
    Beijing, Beijing 100021, China
    • Jianqiang Tang, Dr. · Contact · doc_tjq@hotmail.com · +8613661090026
    • Jianqiang Tang, Dr. · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05911152
Lead sponsor
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Collaborators
Cancer Hospital Chinese Academy of Medical Science, Shenzhen Center, Peking University First Hospital
Responsible party
Jianqiang Tang (Associate professor, Cancer Institute and Hospital, Chinese Academy of Medical Sciences) — Principal investigator
First posted
Jun 20, 2023
Start date
Jan 1, 2016
Primary completion
Jan 1, 2024 (estimated)
Completion
Jan 1, 2025 (estimated)
Last update
Jun 27, 2023

Study contacts

Mingguang Zhang, Dr.
Contact
zmgslimshady@163.com
+8613261967603

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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