Gastric Cancer, Roux-en-Y, Uncut Roux-en-Y
Conditions
Keywords
Uncut Roux-en-Y, Roux-en-Y
Brief summary
Uncut Roux-en-Y vs Roux-en-Y reconstruction after distal gastrectomy for gastric cancer
Detailed description
To search which is the better reconstructions by comparing and analyzing the advantages and disadvantages between Uncut Roux-en-Y and Roux-en-Y reconstructions after laparoscopy-assisted distal gastrectomy for gastric cancer. Method: It's a prospective study including all patients underwent laparoscopy-assisted distal gastrectomy (LADG) in the First Hospital of Jilin University. All surgical procedures will be performed by the single surgery team, which is leaded by professor Wang Quan. The reconstruction method will be selected randomly from Uncut Roux-en-Y and Roux-en-Y anastomosis preoperatively without distinct indications. All clinical data, operation data, perioperative complications and related physiological indexes after surgery will be compared.
Interventions
Uncut Roux-en-Y Reconstruction All surgical procedures will be performed by the single surgery team ,which is leaded by professor Wang Quan. Uncut Roux-en-Y construction will be used in this group.
Roux-en-Y Reconstruction All surgical procedures will be performed by the single surgery team ,which is leaded by professor Wang Quan. Roux-en-Y construction will be used in this group.
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of distal gastric cancer * underwent laparoscopy-assisted distal gastrectomy
Exclusion criteria
* have simultaneously other cancer * have severe systemic inflammatory disease ,serious illness such as diabetes, chronic lung diseases * have upper gastrointestinal surgery * can't bear the gastric tube * the period is too late or the tumor is too large to carry on a laparoscopy assisted radical distal gastrectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the incidence of Roux stasis syndrome | 3 month after surgery | the incidence of Roux stasis syndrome after Roux-en-Y reach an incidence of over 30% which involve nausea, vomiting, and abdominal distension. So the incidence of both reconstructions should be compared. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the incidence of other complications after operation | one month after surgery | — |
| the quility of life according to the RGB standards | 12 month after surgery | the RGB standards in Terms of Gastritis, Bile Reflux, and Gastric Residue |
Countries
China