Clinical trial Recruiting at 1 site Interventional Ages 18 to 75

Comparing D2 and D3 lymph node dissection for left colon cancer

Official title: D2 vs D3 Lymph Node Dissection for Left Colon Cancer: Multicenter Randomize Control Trial (DILEMMA)

Run by Russian Society of Colorectal Surgeons · NCT04364373 · Data updated 2026-11-12

This study tests whether a new surgical technique for removing lymph nodes during left colon cancer surgery can help patients live longer and have better outcomes compared to the standard method.

Quick facts

Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment1381 (estimated)
SponsorRussian Society of Colorectal Surgeons
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Moscow)
StatusRecruiting
StartedMarch 31, 2020
Main results expectedDecember 31, 2028
Study endsDecember 31, 2033
Registry record updatedAugust 17, 2026
Trial IDNCT04364373 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients diagnosed with adenocarcinoma of the colon located between the splenic flexure and rectosigmoid junction, who meet specific clinical criteria.

Probably not a fit

Patients with early-stage tumors, preoperative complications, or those who have received prior treatments may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the differences in 5-year overall survival rates between D2 and D3 lymph node dissection techniques in patients with left colon cancer. It aims to clarify the safety and functional outcomes associated with the D3 lymph node dissection approach, which is based on Japanese surgical guidelines. The trial will involve patients undergoing various types of left colon resections, with a focus on the quality of lymph node extraction and the anatomical precision of the surgical procedure.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical outcomes and survival rates for patients with left colon cancer.

How similar studies have gone: While the concept of lymph node dissection has been explored, this specific comparison of D2 vs D3 techniques in left colon cancer is novel and has not been extensively tested in randomized trials.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Agreement of the patient to participate in trial
2. Colon cancer (only adenocarcinoma )
3. The tumor located between the splenic flexure and rectosigmoid junction
4. cT3-Т4а,b
5. cN0-2
6. cM0
7. Tolerance of chemotherapy
8. ASA 1-3

Exclusion Criteria:

1. сТis - Т2, сТ4b (tail of the pancreas, stomach, small bowel, ureter, urinary bladder)
2. Preoperative complications of the tumor (perforation and full bowel 3. obstruction)
3. Previous radiotherapy or chemotherapy
4. Synchronous or metachronous tumors
5. Women during Pregnancy or breast feeding period

Where it's running

  • Clinic of coloproctology and minimally invasive surgery
    Moscow, Russia
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.