Comparison of Laparoscopic Versus Open Gastrectomy for Advanced Gastric Cancer:A Prospective Randomized Trial
Prospective Randomized Trial of Laparoscopic Versus Open Gastrectomy for Advanced Gastric Cancer
1 other identifier
interventional
328
1 country
2
Brief Summary
The purpose of this study is to compare the short- and long-term results between the laparoscopy-assisted gastrectomy and the open gastrectomy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2010
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 6, 2010
CompletedFirst Posted
Study publicly available on registry
January 7, 2010
CompletedStudy Start
First participant enrolled
February 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2015
CompletedJune 5, 2012
June 1, 2012
5 years
January 6, 2010
June 4, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Disease free survival
3 years
Secondary Outcomes (1)
Complications, recurrence, quality of life measured by EORTC QLQ-C30 V 3.0 and EORTC QLQ-STO22
3 years
Study Arms (2)
Laparoscopy-assisted gastrectomy
EXPERIMENTALOpen gastrectomy
ACTIVE COMPARATORInterventions
A 10-mm trocar for laparoscope was inserted below the umbilicus. Another 10-mm trocar was introduced in the left preaxillary line 2 cm below the costal margin as a major hand port,and a 5-mm trocar was placed at the contralateral site for traction. A 5-mm trocar was inserted in the left midclavicular line 2 cm above the umbilicus as an accessory port, and a 15-mm trocar also as an accessory port was placed at the contralateral site. The operator stood on the left side of the patient. Subtotal or total gastrectomy and D2 lymph node dissection will be performed basically. As a general rule, Billroth I, Billroth II or Roux-Y method was used for gastric reconstruction. Dissected stomach and lymph node are collected through additional 5 cm incision at a median superior abdominal incision.
Approximately 15\~20 cm length incision is made from falciform process to periumbilical area. Subtotal or total gastrectomy and D2 lymph node dissection will be performed basically. As a general rule, Billroth I, Billroth II or Roux-Y method was used for gastric reconstruction for all cases.
Eligibility Criteria
You may qualify if:
- Pathologically proven gastric adenocarcinoma
- Age:older than 18 years old,younger than 80 years old
- Preoperative stage(CT, GFS stage):cT2N0M0, cT2N1M0, cT2N2M0, cT3N0M0, cT3N1M0,cT3N2M0
- ASA score:≤3
- Patients with an invasion of the gastric serosa exceeding 10 cm2 according to ultrasound examination or examination during surgery were excluded
- No history of other cancer
- No history of chemotherapy or radiotherapy
- Written informed consent
You may not qualify if:
- Concurrent cancer patients or patient who was treated due to other types of cancer before the patient was diagnosed as a gastric cancer patient
- Patient who was treated by other types of treatment methods, such as chemotherapy, immunotherapy, or radiotherapy
- Patient who was received upper abdominal surgery (except, laparoscopic cholecystectomy)
- ASA score:\>3
- Contraindication of laparoscopy: severe cardiac disease, abdominal wall hernias, diaphragmatic hernias, uncorrected coagulopathies, portal hypertension, pregnancy
- Complicated case needed to get emergency operation
- Any accompanying surgical condition needed to be performed in same time
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yan Shilead
Study Sites (2)
Department of General Surgery and Center of Microinvasive Gastrointestinal Surgery, Southwest Hospital
Chongqing, Chong Qing, 400038, China
Southwest Hospital, China
Chongqing, Chong Qing, 400038, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Department of General Surgery and Center of Microinvasive Gastrointestinal Surgery
Study Record Dates
First Submitted
January 6, 2010
First Posted
January 7, 2010
Study Start
February 1, 2010
Primary Completion
February 1, 2015
Study Completion
February 1, 2015
Last Updated
June 5, 2012
Record last verified: 2012-06