New Colon-Sparing surgery could improve cancer outcomes
NCT ID NCT05923255
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares a newer, less invasive surgery (LISH) that saves part of the colon to the standard surgery (TRH) for people with colon cancer in specific areas. The goal is to see if the newer surgery leads to better long-term survival without the cancer coming back. About 568 adults with colon cancer will be randomly assigned to one of the two surgeries and followed for 3 years.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 568 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2023
- Expected to finish
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May 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age between 18-75 years old 2. ASA classification ≤III 3. Colon adenocarcinoma confirmed by endoscopy and pathological biopsy 4. Enhanced abdominal CT indicating the primary lesion is located in the hepatic flexure of the colon or proximal transverse colon (proximal 1/3 of the transverse colon) 5. Preoperative clinical staging: TanyNanyM0 6. Patients able to understand the study protocol, willing to participate in the research, and providing written informed consent Exclusion Criteria: 1. Preoperative examination indicates synchronous multiple primary colorectal cancers or other diseases requiring bowel segment resection 2. Preoperative imaging or intraoperative exploration reveals: 1) tumor involving surrounding organs requiring combined organ resection; 2) presence of distant metastasis; 3) inability to perform R0 resection; 4) fused and fixed lymph nodes at the root of the ileocolic vessels 3. Additional radical surgery following Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD) procedures 4. History of any other malignant tumor within the last 5 years or familial adenomatous polyposis, except for cured in situ cervical cancer, basal cell carcinoma, papillary thyroid carcinoma, or skin squamous cell carcinoma 5. Presence of bowel obstruction, bowel perforation, or intestinal bleeding requiring emergency surgery 6. Patients unsuitable for or unable to tolerate laparoscopic surgery 7. Pregnant or lactating women 8. Patients with a history of psychiatric disorders 9. Patients who have received neoadjuvant therapy prior to surgery 10. Patients deemed unsuitable for the study by MDT discussion 11. Patients unable to understand the study's conditions and objectives, and refusing to sign informed consent.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
29 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Beijing Cancer Hospital
RECRUITINGBeijing, Beijing Municipality, 100000, China
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Cancer Hospital Academy of medicine Scenice
RECRUITINGBeijing, Beijing Municipality, China
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Changhai Hospital of Shanghai
RECRUITINGShanghai, Shanghai Municipality, 200433, China
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Fudan University Shanghai Cancer Center
RECRUITINGShanghai, Shanghai Municipality, China
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Fujian Cancer Hospital
RECRUITINGFuzhou, Fujian, 350001, China
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Fujian Hospital Medical Union University
RECRUITINGFuzhou, Fujian, 350001, China
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Guangdong Second Provincial General Hospital
RECRUITINGGuangzhou, Guangdong, 510317, China
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Jiangsu province hospital
NOT_YET_RECRUITINGNanjing, Jiangsu, China
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Jinhua Municipal Central Hospital
RECRUITINGJinhua, Zhejiang, China
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Nanjing Drum Tower Hospital
RECRUITINGNanjing, Jiangsu, China
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Ningbo No.2 Hospital
RECRUITINGNingbo, Zhejiang, China
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Peking Union Medical College Hospital
RECRUITINGBeijing, Beijing Municipality, 100000, China
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People's Hospital of Hunan Province
RECRUITINGChangsha, Hunan, China
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Ruijin Hospital Affiliated of The Shanghai Jiao Tong University Medical School
RECRUITINGShanghai, Shanghai Municipality, China
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Second Affiliated Hospital Zhejiang University College of Medicine
RECRUITINGHangzhou, Zhejiang, 310999, China
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Shandong Cancer Hospital
RECRUITINGJinan, Shandong, 250117, China
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Sir Run Run Shaw Hospital, Zhejiang University School of medicien
RECRUITINGHangzhou, Zhejiang, China
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The Affiliated Hospital of Qingdao University
RECRUITINGQingdao, Shandong, 266003, China
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The Cancer Hospital Affiliated of The Xingjiang University Medical School
RECRUITINGXinjiang, Xinjiang, China
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The First Affiliated Hospital of Xiamen University
NOT_YET_RECRUITINGXiamen, Fujian, China
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The Second Affiliated Hospital of Nanchang University
RECRUITINGNanchang, Jiangxi, China
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The Sixth Affiliated Hospital of Sun Yat-sen University
RECRUITINGGuangzhou, Guangdong, 510655, China
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The first affiliated hospital of xi'an jiaotong university
RECRUITINGXi’an, Shanxi, 710000, China
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Union Hospital, Tongji Medical College, Huazhong University of Science and Technolog
RECRUITINGWuhan, Hubei, China
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West China Hospital of Sichuang University
RECRUITINGChengdu, Sichuan, China
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Yunnan Cancer Hospital
RECRUITINGKunming, Yunnan, China
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Zhejiang Cancer Hospital
NOT_YET_RECRUITINGHangzhou, Zhejiang, China
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the First Affiliated Hospital of Bengbu Medical Collage
RECRUITINGBengbu, Anhui, China
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the First Affiliated Hospital of Chongqing Medical Collage
RECRUITINGChongqing, Chongqing Municipality, China
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