Laparoscopic Ischemic Conditioning Prior to Esophagectomy
NCT03896399 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 22
Last updated 2026-02-19
Summary
This is a two center phase II prospective single-arm safety and feasibility trial for 20 patients with resectable esophageal carcinoma with an increased risk for anastomotic leakage, as based upon UCS and NASCET calcification scores on pre-op CT-scan. In these patients, laparoscopic ischemic conditioning is performed 12-18 days before an Ivor-Lewis esophagectomy. The primary outcome is all complications grade 2 and higher (Clavien-Dindo classification) occurring during or after the laparoscopic ischemic conditioning. Secondary outcomes are complications after the esophagectomy, and the induction of angiogenesis by biomarkers of microcirculation and redistribution of blood flow by measurement of indocyanine green (ICG) fluorescence angiography.
Conditions
- Esophageal Cancer
Interventions
- PROCEDURE
-
Laparoscopic ischemic conditioning followed by esophagectomy
All included patients will receive a laparoscopic ischemic conditioning followed by an esophagectomy after an interval of 12-18 days.
Sponsors & Collaborators
-
University Hospital of Cologne
collaborator OTHER -
UMC Utrecht
lead OTHER
Principal Investigators
-
Richard van Hillegersberg, MD, PhD · University Medical Center Utrecht, dept. of Surgery
-
Wolfgang Schröder, MD, PhD · University Hospital of Cologne, department of Surgery
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-11-11
- Primary Completion
- 2022-05-02
- Completion
- 2022-05-02
Countries
- Germany
- Netherlands
Study Locations
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