Laparoscopic-assisted Total Gastrectomy Versus Open Total Gastrectomy With Splenic Hilum Lymph Nodes Dissection
1 other identifier
interventional
144
1 country
1
Brief Summary
This study investigates the safety and feasibility of laparoscopic-assisted total gastrectomy with spleen-preserving splenic hilum lymph node dissection for proximal advanced gastric cancer and compares the early results of this procedure with open total gastrectomy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 gastric-cancer
Started Oct 2015
1 active site
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
Study Start
First participant enrolled
October 1, 2015
CompletedFirst Submitted
Initial submission to the registry
March 9, 2016
CompletedFirst Posted
Study publicly available on registry
March 17, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2019
CompletedApril 10, 2017
April 1, 2017
3 years
March 9, 2016
April 7, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Early complication rate
The early complication rate is defined as the event observed during operation and within 30 days after surgery.
30 days
Secondary Outcomes (11)
Operative time
Intraoperative
Time of splenic hilum lymph nodes dissection
Intraoperative
Operative blood loss
Intraoperative
Incision length
7 days
Number of total lymph nodes harvested
7 days
- +6 more secondary outcomes
Study Arms (2)
Laparoscopic-assisted total gastrectomy
EXPERIMENTALPatients including in the laparoscopic-assisted total gastrectomy (LATG) group will undergo LATG with spleen-preserving splenic hilum lymph nodes dissection.
Open total gastrectomy
ACTIVE COMPARATORPatients who are included in the open total gastrectomy (OTG) group will OTG with spleen-preserving splenic hilum lymph nodes dissection.
Interventions
When patients with advanced proximal gastric cancer are randomized in the laparoscopic-assisted total gastrectomy (LATG) group, they will received LATG with spleen-preserving splenic hilum lymph nodes dissection.
When patients with advanced proximal gastric cancer are randomized in the open total gastrectomy (OTG) group, they will received OTG with spleen-preserving splenic hilum lymph nodes dissection.
Eligibility Criteria
You may qualify if:
- Patient with advanced proximal gastric cancer (T2-T4a,N0-N3,M0)
- Informed consent
- Eastern Cooperative Oncology Group (ECOG): 0 ot 1
- American Society of Anesthesiologists (ASA) score: Ⅰto Ⅲ
You may not qualify if:
- Pregnancy or female in suckling period
- Contraindication to general anesthesia (severe cardiac and/or pulmonary disease)
- Severe mental disease
- Emergency operation due to complication (bleeding, perforation or obstruction) caused by primary tumor
- Body mass index (BMI) \> 30 kg/m2
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Guangdong Province Hospital of Chinese Medicine, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine
Guangzhou, Guangdong, 510120, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Wei Wang, M.D., PH.D.
Guangdong Province Hospital of Chinese Medicine, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- M.D., PhD.
Study Record Dates
First Submitted
March 9, 2016
First Posted
March 17, 2016
Study Start
October 1, 2015
Primary Completion
October 1, 2018
Study Completion
April 1, 2019
Last Updated
April 10, 2017
Record last verified: 2017-04
Data Sharing
- IPD Sharing
- Will not share