LISH Trial for the Hepatic Flexure and Proximal Transverse Colon Cancer

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorZhejiang University

About this trial

The goal of this clinical trial is to compare the long-term outcomes of Laparoscopic Ileocecal-Sparing Right Hemicolectomy(LISH) compared to traditional laparoscopic right hemicolectomy(TRH) in the treatment of hepatic flexure colon cancer and proximal transverse colon cancer.

Eligibility criteria

Qualifiers

Age between 18-75 years old

ASA classification ≤III

Colon adenocarcinoma confirmed by endoscopy and pathological biopsy

Enhanced abdominal CT indicating the primary lesion is located in the hepatic flexure of the colon or proximal transverse colon (proximal 1/3 of the transverse colon)

Disqualifiers

Preoperative examination indicates synchronous multiple primary colorectal cancers or other diseases requiring bowel segment resection

Preoperative imaging or intraoperative exploration reveals: 1) tumor involving surrounding organs requiring combined organ resection; 2) presence of distant metastasis; 3) inability to perform R0 resection; 4) fused and fixed lymph nodes at the root of the ileocolic vessels

Additional radical surgery following Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD) procedures

History of any other malignant tumor within the last 5 years or familial adenomatous polyposis, except for cured in situ cervical cancer, basal cell carcinoma, papillary thyroid carcinoma, or skin squamous cell carcinoma

Trial design

Treatments tested in this trial

  • LISH (Laparoscopic Ileocecal-Sparing Right Hemicolectomy)
  • TRH(Traditional Laparoscopic Right Hemicolectomy)

Treatment groups

568 Participants
are divided into 2 treatment groups

Sponsors and collaborators