Health Condition 1: C160- Malignant neoplasm of cardia
Conditions
Interventions
Intervention1: Splenic mobilisation: In the study group, the spleen will be mobilised to clear the splenic hilar and distal splenic artery lymph nodes, in addition to a standard D2 radical total gastr
Sponsors
Aster Medcity Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Age group â?? 20 â?? 80 years Tumours of proximal stomach (gastro oesophageal junction tumour type III & proximal stomach adenocarcinoma) and linitisplastica Documented diagnosis by preoperative biopsy. Surgery for curative intent ( D2 Radical total gastrectomy) Absence of distant lymphatic spread (beyond station 12 lymph nodes).
Exclusion criteria
Exclusion criteria: Gastric cancer requiring pancreatectomy or splenectomy due to direct invasion. Gastrectomy as part of multi-visceral resection for another primary disease. Patients who canâ??t tolerate the major procedure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compare lymph node yield in level 10 and level 11d lymph nodes Timepoint: when biopsy report is available, usually 2 weeks after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Analyze the short term (30 days) outcome in terms of â?? pulmonary and splenic morbidity and mortality. Timepoint: 30days;compare number of positive nodes Timepoint: 30days | — |
Countries
India
Contacts
Public ContactDr Prakash Kurumboor
Aster Medcity
Outcome results
None listed