All patients planned for an anterior resection due to rectal cancer with a total mesorectal excision are included. This is a feasibility study, thus no randomization will be performed. Primary endpoint is clinical and pathologic examination of the specimen. Secondary end-points include clinical variables such as conversion rate, re-admission and/or re-operation due to any complication and health economy analyses.
The design is comparative and prospective, we will compare specimens from patients operated at our institution during the last year with standard open or laparoscopic approach with patients operated with the new technique. Patients in the control arm will be patients operated prior to the commencement of the new technique or patients not eligible or possible to include in the study. It is possible to obtain a macroscopically and microscopically adequate specimen after a combined approach with laparoscopic and transanal TME compared to open or laparoscopic conventional TME.
Study Type
OBSERVATIONAL
Enrollment
6
Dept. of Surgery, Sahlgrenska University Hospital/Ostra
Gothenburg, Sweden
NU-sjukvården
Trollhättan, Sweden
Number of specimens with grade I specimen according to Quirke
Comparison with control group
Time frame: 4 weeks postoperatively
Conversion rate
Time frame: day of surgery
Re-admission
Time frame: 30 days
Postoperative complications scored according to Clavien-Dindo within the first 12 months
Time frame: 12 months
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