Gastric Cancer
Conditions
Keywords
Enhanced recovery after surgery, laparoscopic gastrectomy, advanced gastric cancer, C-reactive,visceral proteins
Brief summary
The investigators designed a prospective randomized, controlled clinical trial then recruited 149 consecutive advanced gastric cancer patients. Further divided into a ERAS group (n=73) and a conventional pathway group (n=76). Surgical technique in both groups was same laparoscopic-assisted gastrectomy with D2 lymphadenectomy. Compared outcomes included clinical parameters and serum indicators.
Detailed description
Enhanced recovery after surgery combined with laparoscopic-assisted gastrectomy was successfully carried out in this study. Recovery parameters such as the length of time to return to normal diet,mean hospital stay (d) were recorded.
Interventions
Normal meal allowed until 6 h before surgery and Carbohydrate drink until 2 h before surgery
No solid foods at dinner before surgery and no liquids 12 h before surgery. Routine bowel preparation Nasogastric placement on the morning of surgery
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18-75 years old 2. Diagnosis confirmed by the endoscopic biopsy and total-body CT scan 3. No history of the chronic renal disease ,chronic liver disease, cardiopulmonary dysfunction, ASA score≦3 4. No neoadjuvant chemotherapy and radiotherapy 5. No digestive obstruction and distant metastasis
Exclusion criteria
1. Conversion to open gastrectomy 2. A large amount of bleeding leading(\>500ml) 3. Patients withdrew their consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compartition of postoperative hospital stay | up to 30 days after the operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in C-Reactive Protein( CRP) and visceral proteins level | baseline and 5 days | 1day before and 1-5days after operation |