cT3(SS) or cT4 (SE/SI) gastric cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1st inclusion criteria (before surgery) 1) Histologically proven primary gastric adenocarcinoma 2) cT3(SS)-T4b(SI) 3) cH0 and M0 4) Scheduled open surgery 5) Possible for R0 or R1 surgery by distal or total gastrectomy with D2 lymphadenectomy 5) Length of esophageal invasion less or equal to 3cm and no need of thoracotomy for resection 7) Not stump cancer of stomach 8) Age 20 to 80 years old 9) PS(ECOG) of 0 or 1 10) Adequate organ functions for gastrectomy 11) Written informed consent from patient 2nd inclusion criteria (during surgery) 1) cT3(SS) - cT4b(SI) 2) cH0 M0 3) No peritoneal dissemination or a few peritoneal dissemination around stomach 4) Possible for R0 or R1 surgery due to only CY1 5) No need of thoracotomy for resection
Exclusion criteria
Exclusion criteria: 1) Synchronous or metachronous (within 5 years) malignancies other than carcinoma in situ 2) Uncontrollable hypertension or uncontrollable diabetes mellitus 3) Continuous systemic steroid therapy 4) Judged by physician inadequate for inclusion in this trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease-free survival | — |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival, peritoneal recurrence-free survival, surgical complications | — |
Countries
Japan
Contacts
Aichi Cancer Center Hospital Department of Gastroenterological Surgery