gastric carcinoma
Conditions
Interventions
experimental group 1:The digestive tract was reconstructed through a posterior fornix incision and specimens were removed
experimental group 2:The digestive tract was reconstructed through rectal incision and specimens were removed
control group:Routine five-hole laparoscopic assisted total gastrectomy
Sponsors
Second Affiliated Hospital of Army Military Medical University (Xinqiao Hospital)
Eligibility
Sex/Gender
All
Age
25 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients with stage II and III gastric cancer and gastric tumors requiring total gastrectomy. 2. Aged 25-75 years. 3. Agree to sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Contraindications for laparoscopic gastrectomy such as: severe cardiopulmonary dysfunction, severe abdominal adhesions, etc.; 2. Those who are unmarried or have no children or those who plan to have children again; 3. Those who have gynecological diseases are not suitable for vaginal operation; 4. Those with insufficient bowel preparation; 5. Those with rectal stricture or rectal disease who are not suitable for rectal operation; 6. Acute gastric retention and perforation caused by tumor; 7. There are high-risk factors for anastomotic leakage (diabetes, application of immunosuppressive agents, severe malnutrition, radiotherapy and chemotherapy, etc.); 8. Patients who participate in other clinical trials at the same time; 9. The distance from the xiphoid process to the pubic tubercle is >30cm (limited by the working length of the stapler handle (35cm)); 10. Patients or their family members refuse to sign the informed consent; 11. Other conditions in which the investigator believes that the patient should not participate in this trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surgical safety and feasibility indicators;Evaluation of surgical efficacy;Evaluation of minimally invasive effect;Evaluation of surgical complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of operation time;Surgical cost evaluation;Length of stay and hospitalization costs of subjects; | — |
Countries
China
Contacts
Public ContactMa Dan
Second Affiliated Hospital of Army Military Medical University (Xinqiao Hospital)
Outcome results
None listed