3DCME V2.0
Research type
Research Study
Full title
Development and validation of 3D virtual / printed models for pre-operative planning in complete mesocolic excision surgery for colon cancer
IRAS ID
263892
Contact name
JORDAN FLETCHER
Contact email
Sponsor organisation
London North West Thames NHS Foundation Trust
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
This is a prospective feasibility study to ascertain if 3D virtual models can be utilised integrated into the European Society of Coloproctology (ESCP) Laparoscopic Complete Mesocolic Excision (CME) proctorship. CME is an operation that is more extensive than a standard bowel resection for cancer. It aims to remove a greater number of lymph nodes and thereby improve disease-free and overall survival. The operation is complex and requires a high level of technical skill. One of the main difficulties is understanding highly variable and complex vascular anatomy.
Pre-operative planning is a crucial aspect of any safe CME surgery, allowing surgeons to determine the appropriate approach and anticipate any potential difficulties. Currently, decisions are made after review of CT and MRI images by surgeons in collaboration with radiologists. However, understanding the relevant 3D anatomical relationships from 2D images in order to apply them intra-operatively can be difficult. 3D virtual models may have certain advantages over traditional 2D images in facilitating the comprehension of complex anatomical structures. This benefit may be greatest for surgeons who are relatively inexperienced performing the procedure.
Surgeons participating in the ESCP proctoring program will be provided with patient specific virtual 3D models of bowel blood vessels and abdominal organs prior to performing surgery. We will collect feedback from the surgeons in regard to the usefulness of these models along with the clinical outcomes of each case. This study aims to find out if using patient specific 3D models is feasible within the CME training programme and inform future studies addressing if they are useful and improve patient outcomes and make surgery easier and safer.REC name
Wales REC 6
REC reference
19/WA/0332
Date of REC Opinion
30 Dec 2019
REC opinion
Further Information Favourable Opinion