Gastric adenocarcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age 18–75 years. 2.Pathologically confirmed gastric adenocarcinoma by endoscopic biopsy. 3.Clinically staged as endoscopically unresectable T1, or cT2–4a, N–/+, M0 according to the AJCC Cancer Staging Manual, 7th edition. 4.Eligible for radical surgical resection. 5.ECOG performance status of 0 or 1. 6.ASA physical status class I–III. 7.Signed informed consent.
Exclusion criteria
Exclusion criteria: 1.Pregnancy or lactation. 2.Severe psychiatric disorder. 3.Previous upper abdominal surgery. 4.History of gastrectomy, endoscopic submucosal dissection (ESD), or endoscopic mucosal resection (EMR). 5.Preoperative imaging suggesting regional lymph node enlargement or diameter >3 cm. 6.History of other primary malignancies within 5 years, except appropriately treated non-melanoma skin cancer or carcinoma in situ. 7.Prior neoadjuvant chemotherapy or radiotherapy. 8.History of cerebrovascular accident or myocardial infarction within the past 6 months. 9.Systemic corticosteroid use for >1 month within the past 1 month. 10.Requirement for concurrent surgery for other diseases. 11.Emergency surgery due to complications of gastric cancer (e.g., bleeding, obstruction, or perforation). 12.Participation in another interventional clinical trial within the past 3 months. 13.Active severe infectious disease. 14.Severe systemic comorbidities deemed to contraindicate surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Technical success rate;The incidence of serious intraoperative complications; | — |
Countries
China
Contacts
Army Medical Center of PLA