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Cancer Colon is one of the major public health problems worldwide. Complete eradication of the tumor with no recurrence or residual masses is a challenge which faces all the surgeons and medical staff all over the world. A lot of techniques were used to ensure 100 % eradication of the tumor and to cure the patients from cancer. Total Mesocolic Excision with Central Vessel Ligation is one of the recent techniques used for colon cancer surgeries. Here in the research the investigators answer the question of how this technique is superior and more beneficial in complete eradication of the tumor than the conventional surgery for colon cancer
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients for whom Complete mesocolic excision will be done | Active Comparator |
| |
| patients had conventional surgery before | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Total Mesocolic Excision with Central Vessel Ligation | Procedure | sharp dissection of the anatomical layers and the dissection of the visceral plane from the parietal one . In addition a central division of the feeding arteries at their origins is performed at the level of superior mesenteric artery for tumors of the right colon and at the level of inferior mesenteric artery or the aorta for tumors of the left colon .this allows for removal of the maximum number of lymph nodes possible. |
| Measure | Description | Time Frame |
|---|---|---|
| Lymph nodes harvest | Number of retrieved lymph nodes can be extracted by this technique | Two years |
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Inclusion Criteria:
• Adult male and female Age of or above 18 years.
Exclusion Criteria:
• Contraindications to major surgery and American Society of Anaesthesiologists (ASA) Physical Status scoring 4 which means extreme systemic disorders which have already become an eminent threat to life regardless of the type of treatment.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amr E. Hassan, resident Doctor | Contact | 01004664295 | amrelfayed@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Mostafa A. Hassanein, professor | Assiut University | Study Chair |
| Mohamed B. Kotb, profeesor | Assiut University | Study Director |
| Mahmoud T. Ahmed, lecturer |
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|
| conventional surgery of cancer colon | Procedure | removal of the tumor with no ligation of the vessel centrally or removal of the whole mesocolon |
|
| Assiut University |
| Study Director |
| ID | Term |
|---|---|
| D003110 | Colonic Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
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