Real-Time margin check during rectal cancer surgery may cut recurrence
NCT ID NCT07398716
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether checking the removed tissue during surgery (frozen section) helps ensure all cancer is removed in people with mid or low rectal cancer who had radiation therapy. 99 patients were split into two groups: one had the extra check, the other had standard surgery. The goal was to see if the check reduces the chance of cancer coming back or needing more extensive surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intraoperative frozen section assessment
- What this could lead to
- If successful, this could show that checking margins during surgery helps reduce local cancer recurrence and the need for more extensive surgery.
- What could go wrong
- This is a small, completed study (99 patients) without a phase designation, so results may not be definitive or widely applicable. The procedure adds time to surgery and may not improve long-term outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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99 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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Jan 2026
- Lead sponsor
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A government agency
The lead sponsor is a government body.
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 90 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients diagnosed with mid or low rectal cancer (Stage I-III) * Patients who have received short-course or long-course neoadjuvant radiotherapy * Patients evaluated and approved for surgery by a multidisciplinary oncology board * Patients scheduled for total mesorectal excision (TME) * Age ≥ 18 years * Patients who provide written informed consent Exclusion Criteria: * Stage IV rectal cancer * Upper rectal tumors * Patients undergoing emergency surgery * Patients planned for local excision or palliative surgery * Patients with distant metastasis * Patients with a history of previous rectal surgery
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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.
Contacts and locations
Locations
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Bakırköy Dr. Sadi Konuk Training and Research Hospital
Bakırköy, Istanbul, 34147, Turkey (Türkiye)
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