D2 vs D3 Lymph Node Dissection for Left Colon Cancer

ConditionColon Cancer
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorRussian Society of Colorectal Surgeons

About this trial

The efficiency of the D3 lymph node dissection is still controversial for left colon cancer patients. This study will try find difference in 5-year overall survival between D2 and D3 lymph node dissection. Investigation of the functional and short-term outcomes will clarify safety of the D3 lymph node dissection.

Eligibility criteria

Qualifiers

Agreement of the patient to participate in trial

Colon cancer (only adenocarcinoma )

The tumor located between the splenic flexure and rectosigmoid junction

cT3-Т4а,b

Disqualifiers

сТis - Т2, сТ4b (tail of the pancreas, stomach, small bowel, ureter, urinary bladder)

Preoperative complications of the tumor (perforation and full bowel 3. obstruction)

Previous radiotherapy or chemotherapy

Synchronous or metachronous tumors

Trial design

Treatments tested in this trial

  • Left colon resection
  • Sigmoid colon resection
  • Distal sigmoid colon resection or anterior resection

Treatment groups

1,381 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Russian Society of Colorectal Surgeons

Lead sponsor

I.M. Sechenov First Moscow State Medical University

Collaborator

G.V. Bondar Republican Cancer Center

Collaborator