Gastric Cancer
Conditions
Interventions
DA group:Totally laparoscopic distal gastrectomy with Delta-shaped gastroduodenostomy
Delta SPLT group:Totally laparoscopic distal gastrectomy with Self-pulling and latter transected delta-shaped gastroduodenostomy
Sponsors
Huashan Hospital, Fudan University
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1) Aged >= 18 and <= 85 years; 2) Histologically proven gastric adenocarcinoma or high-grade intraepithelial neoplasia (cTis-3NxM0, by preoperative gastrofiberscopy); 3) The longest diameter of the tumor is no larger than 3cm and without pyloric invasion; 4) Eastern Cooperative Oncology Group (ECOG) performence status:0 or 1; 5) ASA physical status class I-III; 6) Patients are voluntarily enrolled into the study, sign the informed consent form and have good compliance.
Exclusion criteria
Exclusion criteria: 1) Pregnant or breast-feeding women 2) History of severe psychosis; 3) Previous epigastric intra-abdominal surgery (exclude laparoscopic cholecystectomy); 4) Bulky lymph nodes (>3cm) detected by preoperative examination; 5) History of other malignant tumor in the last 5 years; 6) History of neo-adjuvant chemotherapy or radiotherapy; 7) No indication for D2 lymphadenectomy; 8) History of unstable angina of myocardial infarction in the past 6 months; 9) History of cerebral infarction or cerebral hemorrhage in the past 6 months; 10) History of continuous generalized adrenal cortex hormone treatment in the past 1 month; 11) Other simultaneous surgery; 12) Emergent surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perioperative safety; | — |
Secondary
| Measure | Time frame |
|---|---|
| Short-term quality of life;Long-term quality of life; | — |
Countries
China
Contacts
Public ContactJun Hong
Outcome results
None listed