Gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Primary treatment for histologically proven adenocarcinoma of the stomach. 2)Indication for open gastrectomy under Guidelines for Diagnosis and Treatment of Carcinoma of the Stomach(Edited by the Japanese Gasric Cancer Society). 3)Clinical stage IA to IIIB by preoperative examinations. 4)Age 20 to 90 years old. 5)Performance status (ECOG) 0 or 1. 6)Written informed consent.
Exclusion criteria
Exclusion criteria: 1)Cancer of gastric remnant. 2)Intention of laparoscopic gastrectomy. 3)Prescribed antiplatelet and anticoagulant agent which needs alternative administration of heparin in the perioperative period. 4)Non curative factors proven by preoperative examinations. 5)Preoperative chemotherapy. 6)Synchronous malignancies other than carcinoma in situ of cervical cancer or focal cancer in adenoma of colorectal cancer. 7)Metachronous malignancies within 5 years or with tumor recurrence. 8)Severe respiratory dysfunction. 9)History of myocardinal infarction within 6 months before surgery. 10)Liver cirrhosis or active hepatitis. 11)Chronic renal failure with hemodialysis. 12)Uncontrolled diabetes mellitus (HbA1c 9.0 or more). 13)Other unfeasible factors to perform study safely approved by attending surgeon.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Operative time from skin incision to resection of gastric specimen | — |
Secondary
| Measure | Time frame |
|---|---|
| total operative time, operative blood loss, postoperative complications, postoperative hospital stay, medical costs. | — |
Countries
Japan
Contacts
Graduate School of Medicine, Osaka University Department of Gastroenterological Surgery