Gastric Cancer
Conditions
Keywords
total gastrectomy, intracorporeal, totally laparoscopic, esophagojejunostomy, anastomosis
Brief summary
Laparoscopic gastrectomy became a good option for early gastric cancer. Surgical trend is gradually changed to totally laparoscopic gastrectomy from laparoscopy-assisted gastrectomy requiring mini-laparotomy. Various types of intracorporeal anastomosis have been introduced for esophagojejunostomy during total gastrectomy. We invented a novel anastomosis method using linear stapler for total gastrectomy. Three procedures (Jejunal resection, esophageal resection and closure of common entry hole after anastomosis) was performed with only one stapler. Therefore, the novel method is simple and fast. Also, this new technique is better economically than previously introduced anastomosis using linear stapler because lesser number of stapler is required. We want to demonstrate the feasibility of novel intracorporeal anastomosis method during laparoscopic total gastrectomy.
Interventions
PROCEDUREIntracorporeal esophagojejunostomy
Under laparoscopic view, esophagojejunostomy was pereformed with 60mm linear stapler on right side of distal esophagus like as functional end-to-end fashion before esophageal and jejunal resection. Then, three procedures of esophageal resection, common entry hole closure and jejunal resection was performed with a single use of 60mm stapler. Also, jejunojejunostomy was also performed via already made staple entry hole.
Sponsors
Keimyung University Dongsan Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Histologically confirmed adenocarcinoma in stomach * Males or Females, aged≥20 years and ≤80 years * Without serosa invasion, extraperigastric lymph node metastasis and other organ metastasis stage in preoperative evaluation, (cT1-3N0-1M0) * Beyond the indication of ESD * Tumor location in high body of stomach or requiring total gastrectomy * Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1 at study entry * American Society of Anesthesiolosists (ASA) score of 1 to 3 * The patient has given their written informed consent to participate in the study
Exclusion criteria
* Simultaneous malignancy in other organ * Experience of previous laparotomy * Experience of gastric resection including wedge resection * Vulnerable subject
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anastomosis related complication rate | During 30 days after operation | Anastomotic leakage, intraluminal bleeding, or stenosis were considered as anastomosis related complication |
Countries
South Korea
Outcome results
None listed