Esophageal cancer
Conditions
Interventions
Hand-assisted laparoscopic gastric mobilization for patients with curative surgery for thoracic esophageal cancer
Laparoscopic-assisted gastric mobilization for patients with curative surgery for th
Sponsors
Tohoku University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Primary lesions are all confined within the thoracic esophagus, 2) an esophageal epithelial malignancy, 3) cT1-3, cN0-3 (exclude celiac lymph nodes) and cM0, 4) Surgery approached from the neck, chest and abdomen, 5) R0 resection with radical dissection, 6) Reconstruction by gastric tube, 7) >20 and <80 y.o., 8) ECOG-PS 0 or 1, 9) No history of surgery for esophageal cancer, 10) No history of chemotherapy or radiotherapy, 11) No history of surgery to upper abdomen, 12) a) WBC >2000 and <10000/mm3, b) PLT >50000/mm3, c) Hb >10.0 g/dl, d) AST <100 IU/L, ALT <100IU/L, e) T-Bil <2.0 g/dl, f) Cre <1.5mg/dl, 13) Written consent
Exclusion criteria
Exclusion criteria: 1) BMI <17.0 or >30.0, 2) Excision of other organs excluding gall bladder or spleen (for bleeding), 3) Active double cancer, 4) Pregnancy or breast-feeding, 5) Psychosis or mental symptoms, 6) Systemic administration of steroids, 7) History of myocardial infarction or unstable angina, 8) Poorly controlled hypertension, 9) Poorly controlled diabetes, 10) Respiratory disease requiring sustained oxygen therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reconstructed gastric tube-related complication using Clavien-Dindo grading system | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) All complication using Clavien-Dindo grading system, 2) Operative time, 3) Estimated blood loss, 4) Conversion of operative procedure, 5) Adverse event of surgery, 6) QOL score, 7) Number of dissected abdominal lymph nodes, 8) Overall survival time. | — |
Countries
Japan
Contacts
Public ContactHiroshi Okamoto
Tohoku University Hospital Department of Surgery
Outcome results
None listed