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CompletedNCT06454253Updated Jun 12, 2024

Short- and Long-term Outcomes of Robotic vs Laparoscopic Right Colon Cancer: a 10-year Single-center Retrospective Study

An observational study in Robotic, Laparoscopic and Colon Cancer, sponsored by Taiyuan Li. Completed. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2024-06-12.

Sponsored by Taiyuan Li · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
1,879
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The goal of this observational study is to evaluate the short-term outcomes and long-term outcomes of robot-assisted right colon group for cancer compared to laparoscopic-assisted right colon group. This is a large sample study based on ten years of clinical data. The main question it aims to answer is: What are the advantages of da Vinci robot right hemicolectomy compared to laparoscopic right hemicolectomy, and is there a difference in long-term efficacy between the two methods.

Read the detailed description

Colorectal cancer (CRC) is highly prevalent worldwide. In China, CRC ranks high among the population of men and women with cancer. The incidence and mortality rates of CRC are rising quickly in developing countries, and it is the fourth most deadly cancer in the world. In particular, the right colon cancer (RCC) is continuously growing in China, and the early symptoms of RCC are not typical. one of the most useful ways for RCC is surgical is a surgical operation. Along with the development of minimally invasive surgery, the use of laparoscopy for colon cancer is widely accepted and has become one symbolic surgical technology. Studies have demonstrated that laparoscopic colonic surgery is related to reduced pain after operation, shorter rehabilitation time, shorter length of hospital stay, reduced the time of ileus after surgery, and reduced surgical site infection.

Nevertheless, laparoscopic surgery also has its shortcoming, including a limited range of motion, slow learning and growth, and physiological tremor cannot be eliminated.The emergence of robots has broken the inherent disadvantage of laparoscopy. It has achieved similar or better results in previous studies. Based on these advantages, robotic surgery has received much attention from the surgeons. With the first robotic surgery in the field of colon cancer was reported in 2002, there are some studies proved the safety and feasibility by using robot,However, most studies with small sample sizes and with cases at a relatively early stage.

Therefore, the purpose of this study is to compare the short-term and long-term outcomes between RARC and LARC in the treatment of right colon cancer in our center.

02

Conditions studied

  • Robotic
  • Laparoscopic
  • Colon Cancer
  • Long-term Outcomes
  • Short-term Outcomes

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03

In context

Colonic Neoplasms

1,432 studies on the registry are indexed under Colonic Neoplasms; 357 are open to participants now.

This study's enrollment of 1,879 is above the median of 280 across 349 observational studies indexed under Colonic Neoplasms.

Browse Colonic Neoplasms studies →

Lead sponsor

Taiyuan Li is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The consecutive cases of robotic-assisted or laparoscopic-assisted right colectomy between December 2014 and March 2024. All cases derived from the First Affiliated Hospital of Nanchang University.

Inclusion criteria

  1. The age is more than 18 years old and less than or equal to 85 years old
  2. No distant metastasis (including pelvic cavity, peritoneum, liver, lung, brain, bone, distant lymph node metastasis, etc.) is judged by ultrasound, CT, PET-CT, etc
  3. Preoperative colonoscopy showing that the tumor was located in the ileocecal region, ascending colon, hepatic flexure, or transverse colon with pathology showing malignancy
  4. signed informed consent. -

Exclusion criteria

Exclusion Criteria:

  1. multiple primary colorectal cancer
  2. recurrent right colon cancer
  3. preoperative neoadjuvant chemotherapy
  4. emergency surgery for intestinal obstruction, bleeding or perforation
  5. incomplete data and missing follow-up data. -
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
1,879 participants (actual)
Patient registry
No

Groups and cohorts

  • robot-assisted right colon group

    Robot assisted radical surgery for right colon cancer

    Device: Da Vinci Robot Surgical System

  • laparoscopic-assisted right colon group

    Laparoscopic assisted radical surgery for right colon cancer

    Device: Da Vinci Robot Surgical System

Interventions

  • DeviceDa Vinci Robot Surgical System

    Performing surgery on right colon cancer patients using the da Vinci robotic surgical system or laparoscopic surgical system

    Also known as: Laparoscopic surgical system

06

What researchers measure

Primary outcomes

  1. overall survival

    months

    Time frame: 5 years after surgery

  2. disease-free survival

    months

    Time frame: 5 years after surgery

Secondary outcomes

  1. the rate of postoperative complications

    rate

    Time frame: 1 months after surgery

  2. operative time

    minutes

    Time frame: Intraoperative

  3. estimation of blood loss

    milliliters

    Time frame: Intraoperative

  4. number of retrieved lymph nodes

    numbers

    Time frame: Intraoperative

  5. days after postoperative hospital stay

    days

    Time frame: 1 months after surgery

  6. time to first exhaust

    hours

    Time frame: 1 weeks after surgery

  7. time to liquid diet

    hours

    Time frame: 1 weeks after surgery

  8. the rate of intracorporeal anastomosis

    rate

    Time frame: 1 months after surgery

07

Study locations

No study locations are listed for this record.

08

References and documents

Study documents

  • Study protocol · Jun 6, 2024

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided — Access to the database can be obtained from the corresponding author on reasonable request.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06454253
Lead sponsor
Taiyuan Li
Responsible party
Taiyuan Li (the First Affiliated Hospital of Nanchang University, Nanchang University) — Sponsor-investigator
First posted
Jun 12, 2024
Start date
Dec 1, 2014
Primary completion
Mar 31, 2024
Completion
Apr 30, 2024
Last update
Jun 12, 2024

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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