Novel Esophago-Jejunal Anastomosis Method During Totally Laparoscopic Total Gastrectomy

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.

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Key information

Conditions

Gastric Cancer Digestive System Diseases Digestive System Neoplasms Gastrointestinal Diseases Gastrointestinal Neoplasms Neoplasms Neoplasms by Site Stomach Diseases Stomach Neoplasms

Age range

20 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Keimyung University Dongsan Medical Center

Daegu, 700-712, South Korea

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Intracorporeal esophagojejunostomy

Procedure

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.

Primary outcomes

Anastomosis related complication rate

Time frame: During 30 days after operation

Anastomotic leakage, intraluminal bleeding, or stenosis were considered as anastomosis related complication

Sponsors and collaborators

Lead sponsor

Keimyung University Dongsan Medical Center

Other

Registry information

Official study title

Novel Esophago-Jejunal Anastomosis Method During Totally Laparoscopic Total Gastrectomy: π-shape Esophagojejunostomy, Three-in-one Technique

Important dates

Study start: 2014
Primary completion: 2015
Study completion: 2015
First posted: Jan 5, 2015
Registry last updated: Dec 29, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed