Gastrostomy Complications
Conditions
Keywords
ERAS,gastric cancer
Brief summary
This study is a prospective, single-center, randomized controlled trial. The study protocol was approved by the Ethics Committee at the First Hospital of Jilin University.ERAS is combined with the laprascopic gastrectomy to assess the efficacy and safety in patients with advanced gastric carcinoma.The hospitalized patients were randomly divided into ERAS group and conventional pathway group . Inter-group differences were evaluated for clinical recovery index, economic indicators, length of hospital stay, 3 years to 5 years long-term survival, etc.
Interventions
optimized pain control, restricted I.V. fluids, early initiation of post-operative oral feeding and enforced mobilization
Sponsors
Study design
Eligibility
Inclusion criteria
* (1) A preoperative cancer stage of T2, T3, T4, Any N, M0 without digestive obstruction confirmed by whole body CT scan, which could be treated with laparoscopic gastrectomy; (2) age 18-75 years; (3) pathologic confirmation of gastric adenocarcinoma by endoscopic biopsy; (4) normal hematological, renal, hepatic, and cardiac parameters, ASA score \< III without severe systemic disease; and (5) no history of treatment with neoadjuvant chemotherapy and/or radiotherapy.
Exclusion criteria
* patients requiring conversion to open gastrectomy; excessive bleeding (˃ 500 mL);and patients opting out of the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical parameters | One week after operation | length of post-operative stay |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | 30 days after operation | wound infection;post-opeartion bleeding;ileus;stenosis;leakage |
Countries
China