Gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Preoperative endoscopy and biopsy confirmed gastric adenocarcinoma, and predictively feasible of total gastrectomy; 2. Predictively resectable diseases, either early or locally advanced gastric cancer, of preoperative staging JGCA 14th Edition cT1N0M0-T4aN3M0, I-IIIb, except T4b; 3. Aged 18 to 75 years; 4. Without serious disease; 5. WHO performance score <2; 6. No limit to sexual and race; 7. Informed consent required.
Exclusion criteria
Exclusion criteria: 1. Primary lesion cannot be resected in the pattern of transabdominal total gastrectomy, but for Whipple's procedure, or combined organ resection or with a transthoracic approach surgery; 2. Patients with other gastric malignant diseases, such as lymphoma and stromal tumors etc. 3. Patients suffering from malignant diseases before the study; 4. Patients with other severe comorbidities and cannot tolerate surgery: such as severe heart and lung diseases, heart function below clinical stage 2, uncontrollable hypertension, pulmonary infection, moderate to severe COPD, chronic bronchitis, severe diabetes and / or renal insufficiency, severe hepatitis and / or function below the rank of CHILD B grade, and severe malnutrition, etc. 5. Performed emergency operation due to bleeding or perforation; 6. Patients treated with neoadjuvant chemotherapy or radiation therapy which might affect the efficacy observation; 7. Not the radical surgery, but with tumor residual (R1 or R2).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| EORTC QLQ-STO22;EORTC QLQ-C3; | — |
Secondary
| Measure | Time frame |
|---|---|
| Complication;the recurrence and transfer after the operaion; | — |
Countries
China
Contacts
Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, China