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NCT04801355: FlexLaC

Full-thickness Laparo-endoscopic Excision vs Laparoscopic Colectomy for Colonic Tumors

Status unknown NA Last updated 25 August 2022
What this trial tests

NA trial testing full-thickness laparo-endoscopic colon adenomas excision in Colorectal Neoplasms, Benign in 100 participants. Status unknown.

Timeline
1 December 2020
Primary endpoint
1 December 2022
1 April 2023

Quick facts

Lead sponsorState Scientific Centre of Coloproctology, Russian Federation
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment100
Start date1 December 2020
Primary completion1 December 2022
Estimated completion1 April 2023
Sites1 location across Russia

Drugs / interventions tested

Conditions studied

Sponsor

State Scientific Centre of Coloproctology, Russian Federation — full company profile →

Who can join

18 and older, any sex, with Colorectal Neoplasms, Benign. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Adenoma - carcinoma is a classic pathway of carcinogenesis. On this basis, timely removal of colon adenomas is a prophylactic measure to prevent colon cancer. The standard treatment of colorectal adenomas is endoscopic mucosal resection or submucosal dissection (ESD). In 10 - 15% of cases the ESD is impossible, due to the size of the tumor, inconvenient localisation in the area of the diverticulum or appendix, the presence of fibrosis in the submucosal layer (Currie AC framework IDEAL // Colorectal Disease. 2019. No. 9 (21). P. 1004-1016.), (Suzuki S. Short-term results of laparoscopic endoscopic cooperative surgery of colorectal tumors (LECS-CR) in cases of endoscopically inoperable colorectal tumors // Surgery today . 2019. No. 12 (49). S. 1051-1057.). In that cases the segmental colectomy is justified. An alternative to colectomy is a hybrid laparo-endoscopic surgery, which reduce postoperative hospital stay, incidence of complications and provide a comparable level of radicality (Lee SW, Garrett KA, Milsom JW Combined endoscopic and laparoscopic surgery (CELS) // Seminars on surgery of the colon and rectum. 2017. No. 1 (28). S. 24-29). Thus, the planned study will contribute to the introduction into practice of an alternative method of management with tumors of the colon without signs of invasive growth when the endoscopically removal is impossible.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Data sources for this page

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