Early Gastric Cancer
Conditions
Keywords
laparoscopic sentinel lymph node biopsy, quality control study, early gastric cancer
Brief summary
Laparoscopic sentinel lymph node biopsy and stomach preserving surgery in ealry gastric cancer is less invasive method which can increase quality of life. Multicenter phase III trial is requred to validate this method. In this study all items which are necessary for laparoscopic sentinel lymph node biopsy are identified according to checklist and evaluated the performance completement.
Interventions
During the operation, endoscopic marking was perfomed using Tc 99m HSA and indocyanine green around tumor. Then we identify the sentinel lymph node with laparoscopic probe. Laparoscopic sentinel lymph nodes were dissedted and evaluated them at the backtable in the operating room.
Sponsors
Study design
Eligibility
Inclusion criteria
* gastric adenocarcinoma in preoperative endoscopic biopsy * clinical stage T1-2N0 * long diameter of tumor \<4cm * distance between tumor and pylorus or cardia \>2cm * age: 20-80 * ECOG: 1 or 0 * patients will undergo laparoscopic gastrectomy
Exclusion criteria
* definite criteria of endoscopic submucosal dissection (size\<2cm, differentiated type, no ulcer) * no indication for surgery for cardiovascular, pulmonary disease * pregancy * drug allergy or previous abdominal surgery, radiotherpy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Completement of performance of laparoscopic sentinel lymph node biopsy | within 24 hours after operation | Investigators will make out a checklist after operation for evaluating the completement of performance of laparoscopic sentinel lymph node biopsy. The checklist will be made out within 24 hours. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Detection rate of laparoscopic sentinel lymph node, learning curve | upto 2 years | Detection rate of laparoscopic sentinel lymph node is evaluated within 7 days after operation by pathological examination. Learning curve can be drawn after all cases' data are collected, so it takes upto 2 years. |
Countries
South Korea