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Trial Title: Establishment of a Feasibility Model for NOSE Surgery Based on Machine Learning

NCT ID: NCT05797064

Condition: Machine Learning
Surgery
Rectosigmoid Cancer
Natural Orifice Specimen Extraction Surgery

Study type: Observational

Overall status: Not yet recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Procedure
Intervention name: Natural Orifice Specimen Extraction Surgery
Description: Natural Orifice Specimen Extraction Surgery (NOSES) is a minimally invasive surgical technique that aims to reduce the size and number of incisions required during certain surgeries. In NOSES, the surgical specimen (such as a diseased organ or tumor) is removed from the body through a natural orifice (such as the mouth, anus, or vagina), rather than through an incision in the abdominal wall. In this trial, we will extract surgical specimens from the rectum to reduce trauma to the abdominal wall.
Arm group label: Training set
Arm group label: test set

Other name: NOSES

Summary: The goal of this observational study is to test in patients with resectable rectosigmoid cancers. The main question it aims to answer is establishment of a feasibility model for predicting natural orifice specimen extraction surgery (NOSES) based on machine learning.

Criteria for eligibility:

Study pop:
Patients diagnosed with resectable rectosigmoid cancer.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: 1. Patients diagnosed with colorectal cancer or large adenoma who are suitable for laparoscopic colorectal surgery; 2. Tumor staging ≤ T3 without invasion of surrounding organs; 3. No abdominal seeding or distant organ metastasis; 4. Clear and complete imaging data (CT, pelvic MRI) that can be processed by a computer; 5. Feasible evaluation and determination for obtaining specimens through the rectal channel during preoperative and intraoperative assessments. Exclusion Criteria: 1. Contraindications for laparoscopic colorectal surgery; 2. Tumor staging is T4, or there are cancer nodules; 3. Presence of metastasis or distant organ metastasis; 4. Incomplete imaging data; 5. Preoperative intestinal obstruction; 6. Tumor or specimen diameter larger than the transverse diameter of the pelvic outlet; 7. Previous rectal radiotherapy; 8. Unsuitable evaluation and determination for obtaining specimens through the rectal channel during preoperative and intraoperative assessments.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: The Sixth Affiliate Hospital of Sun Yat-Sen University

Address:
City: GuangZhou
Country: China

Contact:
Last name: Yanxin Luo, PhD,MD

Phone: 86-13826190263
Email: luoyx25@mail.sysu.edu.cn

Contact backup:
Last name: Yaoyi Huang, BS

Phone: 86-15986423743
Email: huangyy355@mail2.sysu.edu.cn

Start date: June 1, 2023

Completion date: June 1, 2026

Lead sponsor:
Agency: Sixth Affiliated Hospital, Sun Yat-sen University
Agency class: Other

Source: Sixth Affiliated Hospital, Sun Yat-sen University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05797064

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