Traditional Three-incision Esophagectomy Versus Minimally Invasive Thorascopic and Laparoscopic Esophagectomy
1 other identifier
observational
1,000
1 country
1
Brief Summary
Esophageal carcinoma is an aggressive malignancy with poor prognosis. Surgical resection remains the most effective method for this malignant disease. VATS esophagectomy has become more and more popular in China and around the world. Although VATS esophagectomy has been proven to be effective in preventing respiratory complications, there is still no ample evidences to demonstrate that VATS esophagectomy is as effective as traditional three-incision esophagectomy in lymph node dissection and is equal or superior in long-term survival. The purpose of this large scale prospective observational study is to compare the minimally invasive thorascopic/laparoscopic esophagectomy with traditional three-incision esophagectomy in lymph node dissection, postoperative recovery, postoperative complications, and long-term survival.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2015
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
May 8, 2015
CompletedFirst Posted
Study publicly available on registry
May 20, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2019
CompletedMay 20, 2015
May 1, 2015
2.9 years
May 8, 2015
May 19, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Long term survival
5 years
Secondary Outcomes (2)
Disease free survival
5 years
Postoperative complications
3 years
Study Arms (2)
Traditional open esophagectomy
Treated by traditional three-incision esophagectomy in the centers with enough experience in esophagectomy via right thoracotomy and the volume ≧50 cases each year.
Minimally invasive eophagectomy
treated by minimally invasive thorascopic/laparoscopic esophagectomy in the centers with enough experience in VATS esophagectomy and the volume≧50 cases each year.
Interventions
Eligibility Criteria
cT1b-3N0-1M0 thoracic esophageal cancer.
You may qualify if:
- Patients with histologically proven squamous cell esophageal cancer, without any previous anti-tumor therapy;
- Preoperative clinical TNM stage:cT1b-3N0-1M0;
- Adequate cardiopulmonary, liver, brain and kidney function which can tolerate the esophagectomy either via traditional tree-incision or minimally invasive thorascopic/laparoscopic esophagectomy;
- Preoperative assessment by CT and EUS is fit for minimally invasive thorascopic/laparoscopic esophagectomy;
- Willing to participate the clinical trial and sign the informed consent before being enrolled into clinical trail.
You may not qualify if:
- Previous use of anti-cancer therapy;
- Preoperative clinical TNM stage: N2-3 or M1;
- Inadequate cardiopulmonary,liver, brain and kidney function for surgery;
- Previous malignancy history;
- Unwilling to participate the clinical trial and refuse to sign informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Chinese Academy of Medical Scienceslead
- Peking University Cancer Hospital & Institutecollaborator
- Henan Cancer Hospitalcollaborator
- Hebei Medical University Fourth Hospitalcollaborator
- Shanghai Zhongshan Hospitalcollaborator
- Harbin Medical Universitycollaborator
- Sichuan Cancer Hospital and Research Institutecollaborator
- Fujian Cancer Hospitalcollaborator
- Liaoning Cancer Hospital & Institutecollaborator
- Hunan Cancer Hospitalcollaborator
- Sun Yat-sen Universitycollaborator
- Zhejiang Cancer Hospitalcollaborator
- Tang-Du Hospitalcollaborator
- Shanghai Chest Hospitalcollaborator
Study Sites (1)
Cancer hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, 100021, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jie He, MD,PhD
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- President
Study Record Dates
First Submitted
May 8, 2015
First Posted
May 20, 2015
Study Start
January 1, 2015
Primary Completion
December 1, 2017
Study Completion
December 1, 2019
Last Updated
May 20, 2015
Record last verified: 2015-05