At a glance
ClinicalIndex Comparison Record- ✓pT2-T4aN0M0 gastric carcinoma
- ✓Borrmann type 1-2 less than 5 cm or Borrmann type 3 less than 2 cm
- ✓Assessed as not fit for gastrectomy by multidisciplinary tumor board
- ✓Signed informed consent
- ✕Borrmann type 4
- ✕Tumor location in the cardia
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Laparoscopic and Endoscopic Collaborative Surgery as Rescue-treatment for Advanced Gastric Cancer in Patients Unfit for Surgery - the LE-RACUS Pilot Clinical Study
In Brief
A clinical study evaluating Laparoscopic and Endoscopic Collaborative Surgery (LECS) for Gastric Cancer. Currently recruiting, targeting 20 participants across 1 site.
Detailed Summary
The standard treatment for advanced gastric cancer without metastases is gastrectomy, where the whole stomach or a large proportion is removed surgically together with regional lymph nodes. Some patients cannot tolerate this invasive procedure because of old age or comorbidities. A tumor left in place can cause local symptoms such as bleeding or outlet obstruction. In this study, the investigators want to test the safety and feasibility of Laparoscopic and Endoscopic Collaborative Surgery (LECS) as a less invasive treatment option to locally remove gastric tumors without requiring extensive surgery in these frail patients. LECS is a minimally invasive surgical technique where the tumor margin is first marked from the inside with a gastroscope, followed by surgical removal of the lesion under endoscopic guidance.
Study Details
Timeline
Interventions
Minimal invasive surgery in collaboration between endoscopy and laparoscopic surgery, to locally remove the tumor