A Prospective Study on Esophagogastrostomy by an Innovative Surgical Technique
NCT06300879 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2025-05-02
Summary
This is a single-center, open-label, Phase Ib/II study aiming to assess the perioperative safety and postoperative outcomes of a novel surgical technique in treating primary adenocarcinoma located in the upper 1/3 of the stomach or gastroesophageal junction (Siewert II or III).
The study will enroll 30 patients who will undergo totally laparoscopic proximal gastrectomy with esophagogastrostomy by fissure technique. Clinical data will be collected to evaluate perioperative safety. Patients will be followed for at least 3 months, during which endoscopy will be performed to analyze occurrences and reasons for anastomotic-related complications. Additionally, the quality of life after surgery will be evaluated by QLQ-C30 and QLQ-STO22.
Conditions
- Gastric Cancer
- Adenocarcinoma of Esophagogastric Junction
Interventions
- PROCEDURE
-
Performing totally laparoscopic proximal gastrectomy with esophagogastrostomy by fissure technique
Surgical Operation: 1. Gastric Resection Range:Proximal gastrectomy, preserving 2/3 of the distal stomach. 2. Lymph Node Dissection Range:D1+ to D2 lymph node dissection. 3. Anastomosis Method: esophagogastrostomy by fissure technique. 4. Anastomosis Risk Management Plan:For a rupture with a maximum diameter less than or equal to 5mm, repair with 4-0/3-0 absorbable sutures and proceed with the anastomosis.For a rupture with a maximum diameter greater than 5mm or failed anastomosis, resect that part of the remaining stomach, change to proximal gastrectomy, and perform double-channel anastomosis. 5. Surgical Approach:Totally laparoscopic proximal gastrectomy.
Sponsors & Collaborators
-
Huashan Hospital
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-01
- Primary Completion
- 2025-12-31
- Completion
- 2026-06-30
Countries
- China
Study Locations
More Related Trials
-
Robotic and Laparoscopic Total Gastrectomy With D2 Lymphadenectomy for Locally Advanced Gastric Cancer
NCT03500471 ·Status: COMPLETED
-
Safety and Feasibility of Laparoscopic Intracorporeal Anastomosis for Colorectal Surgery- A Multiple Center Real World Study
NCT05911152 ·Status: UNKNOWN
-
The Effect of Different Digestive Tract Reconstruction Methods on Postoperative Quality of Life After Proximal Gastrectomy
NCT06929949 ·Status: RECRUITING
-
Feasibility and Safety of Hybrid Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Colon Cancer
NCT04048421 ·Status: RECRUITING ·Phase: NA
-
Preliminary Efficacy Analysis of 'λ+α' Double-Tract Reconstruction After Laparoscopic Proximal Gastrectomy
NCT06475170 ·Status: RECRUITING ·Phase: NA
-
Totally Laparoscopic Distal Gastrectomy for Gastric Cancer
NCT05556980 ·Status: COMPLETED ·Phase: NA
-
Multivisceral Radical Resection for Surgical T4b Colorectal Cancer: Propensity Score-matched Study Comparing the the Laparoscopic and Open Approaches
NCT05707598 ·Status: COMPLETED
-
Evaluation of Short-term Outcomes of Day Surgery for Patients With CuRC
NCT04646915 ·Status: UNKNOWN
-
Performing Laparoscopic Surgery for Colorectal and Gastric Cancer Outside the Primary Registered Medical Institution
NCT04834661 ·Status: COMPLETED
-
Safety Study of Totally Laparoscopic Resection With Natural Orifice Specimen Extraction (NOSE) for Rectosigmoid Cancer
NCT02635503 ·Status: RECRUITING ·Phase: PHASE3
-
Comparison of Laparoscopic Versus Open Gastrectomy for Advanced Gastric Cancer:A Prospective Randomized Trial
NCT01043835 ·Status: UNKNOWN ·Phase: NA
-
The Safety and Feasibility of Reduced Port Robotic Distal Gastrectomy Using Single-site for Surgical Treatment of Early Gastric Cancer
NCT02347956 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Intraoperative Adverse Events in Robotic Radical Gastrectomy for Gastric Cancer
NCT05999019 ·Status: COMPLETED
-
Utilization of Transanal Endoscopy in the Treatment of Anastomotic Stenosis
NCT06036862 ·Status: RECRUITING ·Phase: NA
-
Radical Gastrectomy Within Enhanced Recovery Programs(ERAS): a Prospective Randomized Controlled Trial
NCT03046303 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Surgical,Clinical and Oncological Outcomes Between Robotic-assisted and Laparoscopic-assisted Gastrectomy
NCT02413476 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
The Advantages and Disadvantages of Linear Anastomat and Tubular Anastomat in Radical Gastrectomy of Distal Gastric Cancer
NCT07080879 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Bacteriological Differences Between Transanal and Laparoscopic Total Mesorectal Excision for Rectal Cancer.
NCT05201872 ·Status: UNKNOWN
-
Laparoscopic Total Gastrectomy With Versus Without Bursectomy
NCT03117283 ·Status: UNKNOWN ·Phase: PHASE2
-
Oncological Differences Between Transanal and Laparoscopic Total Mesorectal Excision for Rectal Cancer.
NCT05201885 ·Status: RECRUITING
-
Intracorporeal Versus Extracorporeal Anastomosis In Laparoscopic Right Colon Resection
NCT05077358 ·Status: UNKNOWN ·Phase: NA
-
Effect of Laparoscopy-Assisted Distal Gastrectomy for Locally Advanced Gastric Cancer
NCT02464215 ·Status: UNKNOWN ·Phase: NA
-
Laparoscopy-Assisted Transanal Endoscopy Rectosigmoid Resection for Rectal Cancer
NCT01340755 ·Status: COMPLETED ·Phase: NA
-
Short-term Outcomes of SILS+1 Versus CLS for Distal Gastric Cancer
NCT05035446 ·Status: UNKNOWN ·Phase: PHASE3
-
Learning Curve and Optimization of Robotic Gastrectomy
NCT05715775 ·Status: COMPLETED