Gastric Cancer
Conditions
Interventions
Ultrasonic scalpel Group:Use ultrasonic scalpel to coagulation and cut off blood vessel, separate and dissection lymph-nodes
some great vessels can ligation by nylon, silk line or Hemolock.
Monopolar electrocautery group:Use monopolar electrocautery to coagulation and cut off blood vessel, separate and dissection lymph-nodes
Sponsors
West China Hospital, Sichuan University, China
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Preoperative endoscopy and biopsy confirmed gastric adenocarcinoma, and predictively feasible of distal gastrectomy or 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. Patients without previous history of upper abdominal surgery; 6. WHO performance score <2; 7. Male and female; 8. informed consent required.
Exclusion criteria
Exclusion criteria: 1. 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.; 2. Patients treated with neoadjuvant chemotherapy or radiation therapy which might affect the efficacy observation; 3. Severity mental diseases; 4. Patients have joined in other Clinical trials and may have influence on the follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative blood loss;Surgical duration; | — |
Secondary
| Measure | Time frame |
|---|---|
| Number of harvested lymph nodes;Intraoperative morbidity and mortality rates;Postoperative morbidity and mortality rate; | — |
Countries
China
Contacts
Public ContactJian-Kun Hu
Department of Gastrointestinal Surgery, West China Hospital, Sichuan University
Outcome results
None listed