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臨床研究等提出・公開システム

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Japanese

April. 15, 2026

April. 15, 2026

jRCT1040260008

A multicenter randomized controlled trial comparing subcuticular closure versus no subcuticular closure in colorectal cancer surgery for the prevention of surgical site infection (SCISSOR Trial)

A study comparing different wound closure methods to prevent infection after colorectal cancer surgery (Wound Closure Study)

Matsuhashi Nobuhisa

Department of Gastroenterological Surgery, Gifu University Hospital

1-1 Yanagido, Gifu-shi, Gifu 501-1194, Japan

+81-58-230-6235

nobuhisa517@hotmail.com

Matsumoto Keita

Department of Gastroenterological Surgery, Gifu University Hospital

1-1 Yanagido, Gifu-shi, Gifu 501-1194, Japan

+81-58-230-6235

10b6.yncc@gmail.com

Pending

April. 15, 2026

2000

Interventional

randomized controlled trial

open(masking not used)

active control

factorial assignment

prevention purpose

- Patients aged >=18 years with colorectal cancer who are scheduled to undergo laparoscopic or robot-assisted resection (with a mini-laparotomy via a midline or Pfannenstiel incision).
- Patients in whom wound closure can be performed according to the study protocol.
- Patients who have received a full explanation of the study and have provided written informed consent.

- Patients diagnosed with colorectal cancer accompanied by bowel obstruction who are judged to require emergency or urgent surgery, those requiring preoperative colonic stent placement, or those considered unsuitable for standard mechanical bowel preparation.
- Patients scheduled for placement of prosthetic material (e.g., immediate mesh implantation) at the same incision site.
- Patients with severe active infection or immunocompromised conditions (e.g., severe neutropenia).
- Pregnant women or those with a high possibility of pregnancy.
- Patients in whom standardization of the study procedures is considered difficult (e.g., inability to adhere to the protocol in emergency surgery).
- Patients judged to be inappropriate for inclusion in the study by the principal investigator.

18age old over
No limit

Both

Colorectal cancer

This study evaluates wound closure techniques using a 2x2 factorial design, comparing subcutaneous suturing (with vs without) and fascial closure methods (continuous vs interrupted) in laparoscopic or robot-assisted colorectal cancer surgery.

Colorectal cancer; Surgical site infection; Laparoscopic surgery

Subcutaneous suturing; Fascial closure; Continuous suture; Interrupted suture

Prevention & Control

Surgery

Incidence of superficial incisional surgical site infection (SSI) within 30 days postoperatively, defined according to CDC criteria, with an ASEPSIS score >20 considered as confirmed SSI.

Incidence of incisional hernia at 12 and 24 months postoperatively, assessed by abdominal CT and clinical examination.

Gifu University Hospital
Ethics Committee of Gifu University Hospital
1-1 Yanagido, Gifu-shi, Gifu 501-1194, Japan, Gifu

+81-582306000

rinri@t.gifu-u.ac.jp
Approval

April. 07, 2026

No

none