A Real World Study of Laparoscopic Preservation of the Pylorus Gastrectomy
A Real World Study of the Effect of Laparoscopic Preservation of the Pylorus and Vagus Nerve on the Postoperative Quality of Life in Patients With Early Gastric Cancer
1 other identifier
observational
160
0 countries
N/A
Brief Summary
For the patients with early gastric cancer (T1), preoperative evaluation (gastroscope, ultrasound gastroscope and abdominal enhanced CT) showed that the tumor was located in the body of the stomach, and the margin was enough to retain the pylorus and non lymph node metastasis (N0). Lappg (D1 + lymph node dissection) and traditional laparoscopic distal gastrectomy (BII type anastomosis, D1 + lymph node dissection) were included A control study was conducted to evaluate the difference of long-term quality of life, gastric emptying rate, incidence of basic reflux gastritis, bile contraction function, immune index, nutritional index and disease-free survival and overall survival between the two groups.
Trial Health
Trial Health Score
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participants targeted
Target at P50-P75 for all trials
Started Jan 2020
Longer than P75 for all trials
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 4, 2019
CompletedFirst Posted
Study publicly available on registry
November 13, 2019
CompletedStudy Start
First participant enrolled
January 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2025
CompletedNovember 13, 2019
November 1, 2019
2 years
November 4, 2019
November 8, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
EORTC Questionnaire QLQ-C30
Among the multiple tools to evaluate QOL of postgastrectomy patients, the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire QLQ-C30 have been used most extensively.
5 years
Study Arms (2)
lappg
ladgbi
Interventions
Eligibility Criteria
For the patients with early gastric cancer (T1), preoperative evaluation (gastroscope, ultrasound gastroscope and abdominal enhanced CT) showed that the tumor was located in the body of the stomach, and the margin was enough to retain the pylorus and non lymph node metastasis (N0). Lappg (D1 + lymph node dissection) and traditional laparoscopic distal gastrectomy (BII type anastomosis, D1 + lymph node dissection) were included A control study was conducted to evaluate the influence of two surgical methods on the long-term quality of life of patients after operation
You may qualify if:
- \) 18 years old \< age \< 75 years old;
- (2) primary gastric lesions were diagnosed as gastric adenocarcinoma by biopsy;
- (3) the preoperative clinical stage was T1N0M0 according to ajcc-7thtnm;
- (4) it is predicted that R0 can be obtained by pylorogastric gastrectomy and D1 + lymph node dissection;
- (5) preoperative ECoG physical state score 0 / 1;
- (6) preoperative ASA score I-III;
- (7) informed consent of patients.
You may not qualify if:
- pregnant or lactating women; suffering from serious mental illness;
- the history of upper abdominal surgery (except laparoscopic cholecystectomy);
- history of gastric surgery (including ESD / EMR for gastric cancer);
- preoperative imaging examination showed regional enlarged lymph nodes;
- having other malignant diseases within 5 years;
- patients with gastric cancer who have received new adjuvant therapy or recommended new adjuvant therapy;
- there was a history of unstable angina or myocardial infarction within 6 months;
- have a history of cerebral infarction or cerebral hemorrhage within 6 months;
- there was a history of continuous systemic corticosteroid therapy within 1 month;
- simultaneous surgical treatment of other diseases is needed;
- gastric cancer with complications (hemorrhage, perforation, obstruction) requires emergency surgery;
- FEV1 of pulmonary function examination was less than 50% of the predicted value.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- RenJi Hospitallead
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 4, 2019
First Posted
November 13, 2019
Study Start
January 1, 2020
Primary Completion
January 1, 2022
Study Completion
January 1, 2025
Last Updated
November 13, 2019
Record last verified: 2019-11