Unique ID issued by UMIN | UMIN000057302 |
---|---|
Receipt number | R000065502 |
Scientific Title | A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer |
Date of disclosure of the study information | 2025/04/01 |
Last modified on | 2025/03/16 17:28:47 |
A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer
A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer
A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer
A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer
Japan |
thoracic esophageal cancer
Gastrointestinal surgery |
Malignancy
NO
To clarify the efficacy and safety of laparoscopic surgery compared with hand-assisted laparoscopic surgery in abdominal part for thoracoscopic/robot assisted subtotal esophagectomy for thoracic esophageal cancer.
Safety,Efficacy
incidence of postoperative pulmonary complications (Clavien-Dindo Grade II or higher)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
Maneuver |
surgical approach in abdominal part
Group A: Hand-assisted laparoscopic surgery
surgical approach in abdominal part
Group B:Laparoscopic surgery
20 | years-old | <= |
Not applicable |
Male and Female
1) Patients who are planed to undergo thoracoscopic or robot assisted subtotal esophagectomy with retrosternal gastric tube reconstruction for thoracic esophageal cancer.
2) cT1-4a, N0-3, M0 or M1 (#104) according to UICC-TNM 8th edition.
5) Age 20 years or older.
6) Performance status (PS) is 0 or 1 according to ECOG criteria.
7) No history of treatment for esophageal cancer. Following history of treatment are eligible.
Curative resection by EMR/ESD with pT1a-LPM (M2) or less, pT1a-MM (M3) and negative for vascular invasion.
8) No history of upper abdominal surgery or surgery involving intestinal resection. (Appendectomy and laparoscopic cholecystectomy are eligible).
9) Sufficient organ functions.
i. WBC >= 3,000/mm3
ii. Platelet >= 100000 /mm3
iii. Hemoglobin >= 8.0 g/dL
iv. T.Bil =< 2.0 mg/dL
v. AST =< 100 U/L
vi. ALT =< 100 U/L
vii. Creatinine =< 2.0 mg/dL
viii. SpO2 >= 95%
10) Written informed consent.
1) Synchronous or metachronous (within 5 years) malignancies except for carcinoma in situ or mucosal tumors curatively treated with local therapy.
2) Infectious disease with systemic therapy indicated.
3) Body temperature of 38 or more degrees Celsius.
4) Pregnancy, possible pregnancy, within 28 days after delivery or breast-feeding.
5) Severe psychiatric disease.
6) Continuous systemic steroid or immune-suppressive drug therapy.
7) Unstable angina pectoris, or history of myocardial infarction within six months.
8) Severe pulmonary fibrosis or emphysema.
9) Poorly controlled hypertension.
10) Poorly controlled diabetes mellitus in spite of continuous use of insulin.
120
1st name | Yuichiro |
Middle name | |
Last name | Doki |
Graduate School of Medicine, Osaka University
Department of Gastroenterological Surgery
565-0871
2-2 Yamadaoka, Suita City, Osaka
06-6879-3251
ydoki@gesurg.med.osaka-u.ac.jp
1st name | Takuya |
Middle name | |
Last name | Hamakawa |
Osaka Rosai Hospital
Surgery
591-8025
1179-3 Nagasonecho, Kita-ku, Sakai City, Osaka
072-252-3561
hamakawa@osakah.johas.go.jp
Osaka University
none
Other
Ethical Review Board Osaka University Hospital
2-2 Yamadaoka, Suita City, Osaka
06-6210-8296
rinri@hp-crc.med.osaka-u.ac.jp
NO
2025 | Year | 04 | Month | 01 | Day |
Unpublished
Preinitiation
2024 | Year | 06 | Month | 03 | Day |
2025 | Year | 04 | Month | 01 | Day |
2029 | Year | 03 | Month | 31 | Day |
2025 | Year | 03 | Month | 16 | Day |
2025 | Year | 03 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065502