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In left-sided colon and rectal cancer, the occurrence of synchronous para-aortic lymph node metastasis is rare, with the incidence of being approximate 1-2%. Currently, there has been no standard treatment strategy for this situation. The present trial is designed to evaluate the safety and efficacy of para-aortic lymph node dissection for left-sided colon and rectal cancer with synchronous para-aortic lymph node metastasis
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| radical surgery with PALND | Experimental |
| |
| radical surgery without PALND | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Radical surgery with PALND | Procedure | sufficient resection margins of the tumor, D3 dissection of the regional lymph nodes and para-aortic lymph node dissection from the bifurcation of iliac artery to the left renal vein via laparoscopic approach |
| Measure | Description | Time Frame |
|---|---|---|
| 5-year OS | 5-year overall survival | From date of recruitment until the date of death from any cause, assessed up to 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| DFS | 5-year disease-free survival | From date of recruitment until the date of disease recurrece, assessed up to 5 years |
| LFFS | Local failure free survival |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yong Dai, M.D. Ph.D. | Contact | +8618560085117 | yongdai@hotmail.com | |
| Xiang Zhang, M.D. Ph.D. | Contact | +8618560089182 | xiang.zhang02@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Qilu Hospital of Shandong University | Jinan | Shandong | 250012 | China |
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| ID | Term |
|---|---|
| D003110 | Colonic Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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| Radical surgery without PALND | Procedure | surgery includes sufficient resection margins of the tumor and D3 dissection of the regional lymph nodes without PALND |
|
| From date of recruitment until the date of para-aortic lymph node recurrence, assessed up to 3 years |
| Postoperative complications | Postoperative complications | From date of surgery until the date of 30 days after surgery |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |