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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 157 - 164 (8page)
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Purpose: Although standard radical gastrectomy is recommended after noncurative resection of endoscopic submucosal dissection (ESD) for early gastric cancer in most cases, residual tumor and lymph node metastasis have not been identified after surgery. The aim of this study is to evaluate the feasibility of sentinel node navigation surgery after noncurative ESD. Materials and Methods: This trial is an investigator-initiated, multicenter prospective phase II trial. Patients who underwent ESD for clinical stage T1N0M0 gastric cancer with noncurative resections were eligible. Qualified investigators who completed the prior phase III trial (SENORITA 1) are exclusively allowed to participate. In this study, 2 detection methods will be used: 1) intraoperative endoscopic submucosal injection of dual tracer, including radioisotope and indocyanine green (ICG) with sentinel basins detected using gamma-probe; 2) endoscopic injection of ICG, with sentinel basins detected using a fluorescence imaging system. Standard laparoscopic gastrectomy with lymphadenectomy will be performed. Sample size is calculated based on the inferior confidence interval of the detection rate of 95%, and the calculated accrual is 237 patients. The primary endpoint is detection rate, and the secondary endpoints are sensitivity and postoperative complications. Conclusions: This study is expected to clarify the feasibility of laparoscopic sentinel basin dissection after noncurative ESD. If the feasibility is demonstrated, a multicenter phase III trial will be initiated to compare laparoscopic sentinel node navigation surgery versus laparoscopic standard gastrectomy in early gastric cancer after endoscopic resection.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Wang Z / 2012 / Diagnostic value of sentinel lymph node biopsy in gastric cancer: a meta-analysis / Ann Surg Oncol 19:1541~1550
Kitagawa Y / 2013 / Sentinel node mapping for gastric cancer: a prospective multicenter trial in Japan / J Clin Oncol 31:3704~3710
Park JY / 2016 / Assessment of laparoscopic stomach preserving surgery with sentinel basin dissection versus standard gastrectomy with lymphadenectomy in early gastric cancer-a multicenter randomized phase III clinical trial (SENORITA trial) protocol / BMC Cancer 16:340
엄방울 / 2018 / Trends in Gastric Cancer Incidence According to the Clinicopathological Characteristics in Korea, 1999-2014 / Cancer Research and Treatment 50(4):1343~1350
Japanese Gastric Cancer Association / 2011 / Japanese gastric cancer treatment guidelines 2010 (ver. 3) / Gastric Cancer 14:113~123
Kitagawa Y / 2013 / Sentinel node mapping for gastric cancer: a prospective multicenter trial in Japan / J Clin Oncol 31:3704~3710
Park JY / 2016 / Assessment of laparoscopic stomach preserving surgery with sentinel basin dissection versus standard gastrectomy with lymphadenectomy in early gastric cancer-a multicenter randomized phase III clinical trial (SENORITA trial) protocol / BMC Cancer 16:340
엄방울 / 2018 / Trends in Gastric Cancer Incidence According to the Clinicopathological Characteristics in Korea, 1999-2014 / Cancer Research and Treatment 50(4):1343~1350
Japanese Gastric Cancer Association / 2011 / Japanese gastric cancer treatment guidelines 2010 (ver. 3) / Gastric Cancer 14:113~123
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