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A Clinical Trial of Esophagectomy for Esophageal Carcinoma

Sun Yat-sen University logo

Sun Yat-sen University

Status and phase

Completed
Phase 2

Conditions

Esophageal Squamous Cell Carcinoma

Treatments

Procedure: mediastinoscopic-assisted transhiatal laparoscopic esophagectomy (MATLE)

Study type

Interventional

Funder types

Other

Identifiers

NCT06691503
SL-5010-2019-03-02

Details and patient eligibility

About

Brief Summary The pathological type of esophageal cancer (EC) in most patients in East Asia is esophageal squamous cell carcinoma (ESCC). Surgery is the primary treatment for EC. This study compared the feasibility and safety of mediastinoscopic-assisted transhiatal laparoscopic esophagectomy (MATLE) with video-assisted thoracoscopic esophagectomy (VATE).

Thirty-five eligible patients with ESCC were assigned to the MATLE group, while seventy matched patients were assigned to the VATE group. The study compared perioperative outcomes and lymph node dissection between the two groups. Additionally, the Kaplan-Meier method was employed to estimate Disease-Free Survival (DFS) and Overall Survival (OS).

Enrollment

35 patients

Sex

All

Ages

18 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • previously untreated
  • histologically confirmed
  • potentially resectable thoracic ESCC clinically staged as T1b-3N0M0 or Tis-1aN0M0 who was not suitable for endoscopic resection according to the 8th edition of the American Joint Committee on Cancer staging system and National Comprehensive Cancer Network Clinical Practice Guidelines in Esophageal and Esophagogastric Junction Cancers
  • age 18-70 years,
  • normal hematologic and organ function -Karnofsky Performance Scale (KPS) was assessed as 100 or 90

Exclusion criteria

  • a history of other malignancies
  • severe comorbidities
  • active autoimmune disease
  • prior non-infectious pneumonitis or interstitial lung disease

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Single Group Assignment

Masking

None (Open label)

35 participants in 1 patient group

mediastinoscopic-assisted transhiatal laparoscopic esophagectomy (MATLE)
Experimental group
Treatment:
Procedure: mediastinoscopic-assisted transhiatal laparoscopic esophagectomy (MATLE)

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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