Anastomotic Leakage
Conditions
Keywords
minimally invasive esophagectomy, anastomotic leakage, gastric conduit
Brief summary
The study hypothesized that a narrow gastric conduit(less than 3cm in width) would minimize anastomotic leakage following minimally invasive esophagectomy. Therefore we raise this random-controlled research, and investigate the leakage ratio from different widths of gastric conduit formed during the operation.
Detailed description
Patients underwent minimally invasive esophagectomy in Zhongshan Hospital of Fudan University will be enrolled and be assigned to wide or narrow gastric conduit group randomly. Intra-operative blood supply and vascular SaO2 will be observed during the operation, and the rate of anastomotic leakage, together with its clinical details will be recorded in the two groups.
Interventions
The gastric conduit will be formed much narrower in the intervention arm during minimally invasive esophagectomy
A widened gastric tube will be formed during the surgery
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients underwent minimally invasive esophagectomy(three-hole procedure) 2. Clinical Staged T1-3N0M0 esophageal cancer patients or: patients who were restaged as T1-3N0M0 esophageal cancer after neo-adjuvant therapy
Exclusion criteria
1. With previous cancer history 2. Severe Co-morbidity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The anastomotic leakage rate | the anastomotic leakage of participants will be followed for the duration of hospital stay, an expected average of 2 weeks | The anastomotic leakage is a severe complication following minimally invasive esophagectomy. The definition of anastomotic leakage is determined as per the STS (SOCIETY OF THORACIC SURGEONS) database. |
Countries
China