gastric cancer
Conditions
Interventions
group 1:Robotic Gastric Cancer Tubeless Surgery
group 2:Robotic Gastric Cancer Intubation Surgery
group 3:Laparoscopic Gastric Cancer Tubeless Surgery
group 4:Laparoscopic Gastric Cancer Intubation Surgery
Sponsors
Second Hospital of Lanzhou University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Voluntarily participate in this study and sign an informed consent form; 2. The patient's preoperative CT or ultrasound gastroscopy confirms that the lesion is gastric cancer, and there is no distant or lymph node metastasis. No gender limit, age = 18 and not exceeding 75 years old; 3. Expected survival time = 3 months; 4. ECOG score 0-1 points; 5. At least one measurable tumor lesion: on spiral CT, the long diameter = 10 mm and the short diameter of lymph nodes = 15 mm; For regular CT or physical examination, the maximum diameter must be = 20mm; 6. No major organ failure 7. No severe coagulation dysfunction 8. Individuals who can tolerate electronic gastroscopy examination
Exclusion criteria
Exclusion criteria: 1. Intestinal obstruction; 2. Intraoperative injury or combined resection of other organs such as pancreas and spleen; 3. Transfer to open surgery. 4. There is extensive adhesion in the peritoneal cavity; 5. There is obvious inflammation in the abdominal cavity; 6. There are high-risk factors for poor anastomotic healing, including anastomotic edema, ischemia, significant tension, and severe hypoalbuminemia; 7. Dysfunction of major organs such as the heart, kidneys, liver, and brain, and surgical risk classification of level III or above according to the American Society of Anesthesiologists (ASA); 8. cachexia, poor preoperative nutritional status, and a score of 3 or more on the nutritional status impairment score in the NRS2002 Nutrition Risk Screening Form; 9. Severe coagulation disorders; 10. Individuals with severe or uncontrolled cardiovascular and pulmonary diseases, or unstable vital signs caused by various reasons; 11. Pregnant and lactating women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ASA Classification;NRS score;Operation time;Intraoperative blood loss;Postoperative VAS score;Postoperative Analgesic Dosing;Time of first ambulation after surgery;Postoperative ventilation time;Postoperative fluid intake time;Length of stay; | — |
Secondary
| Measure | Time frame |
|---|---|
| Age;Gender;Body mass index (bmi);Preoperative clinical staging;Number of lymph node removals;Hospitalization Costs; | — |
Countries
China
Contacts
Public ContactHao Chen
Second Hospital of Lanzhou University
Outcome results
None listed