Esophageal cancer is a debilitating condition. The treatment involved is complex requiring a combination of chemotherapy and surgery in most cases. Complete removal of the tumor and the adjacent lymph nodes is of utmost importance in improving the survival. Lymph node yield following surgery helps in proper staging of the disease and is an important prognosticating variable. It is hypothesized that the lymph node yield following robotic esophagectomy is higher than that following thoracolaparoscopic esophagectomy. The study aims to compare the short term oncological outcomes following robotic esophagectomy and thoracolaparoscopic esophagectomy for carcinoma esophagus.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Removal of the esophagus and its draining lymph nodes using robotic surgical instruments
Removal of the esophagus and its draining lymph nodes using conventional thoracoscopic and laparoscopic techniques
GEM Hospital & Research Center
Chennai, Tamil Nadu, India
RECRUITINGGEM Hospital & Research Center
Coimbatore, Tamil Nadu, India
RECRUITINGLymph node yield
Total number of lymph nodes harvested
Time frame: 7 days after Index Surgery
Surgical margin status
The proximal, distal and circumferential surgical margins will be assessed by pathological evaluation for the presence of tumor and will be assigned an "R" category as defined by the College of American Pathologists. R0 would indicate no evidence of residual tumor. Presence of microscopic tumor at margins would be designated as R1 whereas the presence of macroscopically visible tumor at margins would be designated as R2.
Time frame: 7 days after Index Surgery
Complications
Intraoperative and post operative adverse events assessed by Clavien Dindo classification system
Time frame: Up to 90 days after surgery
ICU stay
Duration of stay in ICU following surgery
Time frame: During index admission or within 30 days after surgery
Hospital stay
Length of stay in hospital following surgery
Time frame: During index admission or re admission within 30 days
Mortality
Death following surgery
Time frame: During index admission or within 90 days following surgery
Duration of surgery
Time taken to complete the surgical procedure recorded in minutes
Time frame: 1 day after surgery
Blood loss
Amount of blood lost during and within 24 hours of surgery
Time frame: During surgery and up to 24 hours after index surgery
Conversion rate
Need for conversion of the procedure to open or other alternate technique
Time frame: 1 day after surgery
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