New 'Bottom-Up' surgery for rectal cancer could mean faster recovery
NCT ID NCT02584985
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a newer, less invasive surgery called ETAP (done through the anus) against standard laparoscopic surgery (done through the belly) for low rectal cancer. 226 adults took part. The goal was to see if ETAP is as good at removing all cancer while possibly leading to fewer complications and a quicker recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Endoscopic Transanal Proctectomy (ETAP) surgery
- What this could lead to
- If successful, ETAP could offer a less invasive surgical option for low rectal cancer with fewer complications and better recovery.
- What could go wrong
- This is a completed trial, but results may not apply to all patients. The new technique may not be as effective at removing all cancer or could have unknown long-term risks.
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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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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226 people
The number who actually took part.
- Started
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Jan 2016
- Finished
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Sep 2025
- Lead sponsor
-
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 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * Non metastatic stadified T3 rectal adenocarcinoma allowing sphincter-sparing procedure * Tumor location or local condition justifying manual coloanal anastomosis * Age \>18 years * Patient eligible for surgery * Written informed consent * Affiliation to Social Security System Exclusion Criteria: * Tumor stadified T4 with en-bloc resection * Possible mechanical trans-sutural anastomosis * Distant metastasis at diagnosis * Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol or follow-up schedule * Patients deprived of liberty or placed under the authority of a tutor
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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
-
Institut Paoli-Calmettes
Marseille, 13009, France
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