J Gastric Cancer.  2016 Jun;16(2):93-97. 10.5230/jgc.2016.16.2.93.

Non-Randomized Confirmatory Trial of Laparoscopy-Assisted Total Gastrectomy and Proximal Gastrectomy with Nodal Dissection for Clinical Stage I Gastric Cancer: Japan Clinical Oncology Group Study JCOG1401

Affiliations
  • 1JCOG Data Center/Operations Office, National Cancer Center, Japan.
  • 2Gastric Surgery Division, National Cancer Center Hospital, Tokyo, Japan. hkatai@ncc.go.jp
  • 3Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Yokohama, Japan.
  • 4Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, Japan.
  • 5Gastric Surgery Division, National Cancer Center Hospital East, Chiba, Japan.
  • 6Department of Surgery, Hyogo College of Medicine, Hyogo, Japan.

Abstract

Several prospective studies on laparoscopy-assisted distal gastrectomy for early gastric cancer have been initiated, but no prospective study evaluating laparoscopy-assisted total gastrectomy or laparoscopy-assisted proximal gastrectomy has been completed to date. A non-randomized confirmatory trial was commenced in April 2015 to evaluate the safety of laparoscopy-assisted total gastrectomy and laparoscopy-assisted proximal gastrectomy for clinical stage I gastric cancer. A total of 245 patients will be accrued from 42 Japanese institutions over 3 years. The primary endpoint is the proportion of patients with anastomotic leakage. The secondary endpoints are overall survival, relapse-free survival, proportion of patients with completed laparoscopy-assisted total gastrectomy or laparoscopy-assisted proximal gastrectomy, proportion of patients with conversion to open surgery, adverse events, and short-term clinical outcomes. The UMIN Clinical Trials Registry number is UMIN000017155.

Keyword

Laparoscopy; Gastrectomy; Nonrandomized clinical trial

MeSH Terms

Anastomotic Leak
Asian Continental Ancestry Group
Conversion to Open Surgery
Gastrectomy*
Humans
Japan*
Laparoscopy
Medical Oncology*
Non-Randomized Controlled Trials as Topic
Prospective Studies
Stomach Neoplasms*

Reference

1. Kakizoe T, Yamaguchi N, Mitsuhashi F. Cancer statistics in Japan: foundation for promotion of cancer research 2000. Tokyo, Japan: Foundation for Promotion of Cancer Research;2001. p. 36–39.
2. Kitano S, Iso Y, Moriyama M, Sugimachi K. Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc. 1994; 4:146–148.
3. Katai H, Sasako M, Fukuda H, Nakamura K, Hiki N, Saka M, et al. JCOG Gastric Cancer Surgical Study Group. Safety and feasibility of laparoscopy-assisted distal gastrectomy with suprapancreatic nodal dissection for clinical stage I gastric cancer: a multicenter phase II trial (JCOG 0703). Gastric Cancer. 2010; 13:238–244.
4. Nakamura K, Katai H, Mizusawa J, Yoshikawa T, Ando M, Terashima M, et al. A phase III study of laparoscopy-assisted versus open distal gastrectomy with nodal dissection for clinical stage IA/IB gastric Cancer (JCOG0912). Jpn J Clin Oncol. 2013; 43:324–327.
5. National Cancer Institute. Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 [Internet]. Bethesda (MD): National Cancer Institute;2010. cited 2015 Mar 5. Available from: http://evs.nci.nih.gov/ftp1/CTCAE/About.html.
6. Katayama H, Kurokawa Y, Nakamura K, Ito H, Kanemitsu Y, Masuda N, et al. Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria. Surg Today. 2016; 46:668–685.
7. Japanese Gastric Cancer Association. Japanese classification of gastric carcinoma: 2nd English edition. Gastric Cancer. 1998; 1:10–24.
8. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2014 (ver. 4, in Japanese). Tokyo: Kanehara & Co., Ltd.;2014.
9. Deguchi Y, Fukagawa T, Morita S. Identification of risk factors for esophagojejunal anastomotic leakage after gastric surgery. World J Surg. 2012; 36:1617–1622.
10. Sano T, Sasako M, Mizusawa J, Yamamoto S, Katai H, Yoshikawa T, et al. Randomized controlled trial to evaluate splenectomy in total gastrectomy for proximal gastric carcinoma. Annals Surg. [accepted 2016 May 3].
11. Ebihara Y, Okushiba S, Kawarada Y, Kitashiro S, Katoh H. Outcome of functional end-to-end esophagojejunostomy in totally laparoscopic total gastrectomy. Langenbecks Arch Surg. 2013; 398:475–479.
12. Haverkamp L, Weijs TJ, van der Sluis PC, van der Tweel I, Ruurda JP, van Hillegersberg R. Laparoscopic total gastrectomy versus open total gastrectomy for cancer: a systematic review and meta-analysis. Surg Endosc. 2013; 27:1509–1520.
13. Lee MS, Lee JH, Park DJ, Lee HJ, Kim HH, Yang HK. Comparison of short- and long-term outcomes of laparoscopic-assisted total gastrectomy and open total gastrectomy in gastric cancer patients. Surg Endosc. 2013; 27:2598–2605.
14. Wada N, Kurokawa Y, Takiguchi S, Takahashi T, Yamasaki M, Miyata H, et al. Feasibility of laparoscopy-assisted total gastrectomy in patients with clinical stage I gastric cancer. Gastric Cancer. 2014; 17:137–140.
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