Semi-mechanical versus hand sewn cervical anastomosis after esophagectomy with gastric tube reconstruction for esophageal cancer; the SHARE study
Phase 3
Completed
- Conditions
- esophageal canceresophageal carcinoma100179431001799110017998
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 200
Inclusion Criteria
* Esophageal resection with stomach tube reconstruction for esophageal carcinoma
* Signed informed consent
* Availability for 1 year follow-up in the Erasmus Medical Center
* Age over 18 year
Exclusion Criteria
* Other forms of esophageal reconstruction than a stomach tube.
* Classification of American Society of Anaesthesiologists over or equal to 4.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Main study parameter/endpoint: clinical anastomotic leakage defined by neck<br /><br>wound infection and loss of saliva and/or fluids through the wound site, signs<br /><br>of mediastinitis or abcess intrathoracic or leakage confirmed by radiological<br /><br>examination (endoscopy or CT with contrast fluids) after clinical suspicion<br /><br>(i.e. leucocytosis, fever, pain), all within 30 days after operation. </p><br>
- Secondary Outcome Measures
Name Time Method <p>Secondary study parameters/endpoints: anastomotic stricture within one year,<br /><br>number of dilations within one year, dysphagia score (table 1, score by<br /><br>Sugahara), quality of life measured by EORTC QLQ C-30 and OES-18 questionnaires<br /><br>preoperative and at 3, 6, 9 and 12 months after surgery. </p><br>
Related Research Topics
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What are the molecular mechanisms underlying cervical anastomosis failure in esophageal cancer patients post-esophagectomy?
How does semi-mechanical anastomosis compare to hand-sewn techniques in reducing complications after gastric tube reconstruction for esophageal cancer?
Which biomarkers are associated with improved outcomes following cervical esophago-gastric anastomosis in esophagectomy for esophageal carcinoma?
What are the potential adverse events and management strategies for cervical anastomosis in phase III esophageal cancer trials?
Are there combination approaches or alternative interventions that enhance cervical anastomosis success in esophageal cancer surgery?