Linear Stapler Versus Circular Stapler in Esophagojejunostomy

Not Applicable

Recruiting

• Conditions: Postoperative Complications; Operative Time; Hospital Costs
• Interventions: Device: Linear stapler; Device: Circular stapler

• Registration Number: NCT05360069
• Lead Sponsor: Nanchong Central Hospital

Brief Summary

With the development of stapler devices, various methods of esophagojejunostomy after laparoscopic total gastrectomy were evoluated. Which stapler is more advantageous has not been determined. At present, the most commonly used is linear stapler or Circular stapler in esophagojejunostomy. However, there is still a lack of reliable evidence for the selection of the two staplers. The purpose of this study is to explore the advantages of linear staper versus circular stapler in esophagojejunostomy for patients with gastric cancer who underwent total gastrectomy.

Detailed Description

With the development of stapler devices, various methods of esophagojejunostomy after laparoscopic total gastrectomy were evoluated. Which stapler is more advantageous has not been determined. At present, the most commonly used is linear stapler or Circular stapler in esophagojejunostomy. However, there is still a lack of reliable evidence for the selection of the two staplers. The purpose of this study is to explore the advantages of linear staper versus circular stapler in esophagojejunostomy for patients with Siewert classification type II and III gastric cancer who underwent total gastrectomy.

Study Timeline

• Study Start: 2020-01-01
• Study First Submitted: 2022-03-11
• Study First Submitted QC: 2022-05-02
• Study First Posted: 2022-05-04
• Status Verified: 2025-05
• Last Update Submitted: 2025-05-17
• Last Update Posted: 2025-05-20
• Primary Completion: 2025-12-31
• Study Completion: 2025-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

1. Histologically confirmed adenocarcinoma of the stomach, T1-T4 stages.
2. Eastern Cooperative Oncology Group performance status of 0 or 1.
3. Adequate organ function.

Exclusion Criteria

1. Patients had distant metastasis.
2. oesophageal invasion of more than 3 cm.
3. Borrmann type 4 or large (more than 8 cm) type 3 carcinoma.
4. Previous chemotherapy or radiation therapy for any other malignancies.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Linear stapler group	Linear stapler	Linear stapler is adopted in esophagojejunostomy.
Circular stapler group	Circular stapler	Circular stapler is adopted in esophagojejunostomy.

Primary Outcome Measures

Name	Time	Method
Surgical complication	6 months	All surgical complication after laparoscopic total gastrectomy

Secondary Outcome Measures

Name	Time	Method
Operation duration	1 day	operation time

Trial Locations

Locations (1)

Yunhong Tian; 🇨🇳 Nanchong, Sichuan, China