Gastric Cancer, Omental Metastasis
Conditions
Brief summary
A complete omentectomy is typically recommended during radical total gastrectomy for gastric cancer, though its impact on survival remains unclear. This study aimed to assess the frequency and risk factors of metastases in the greater omentum in gastric cancer patients undergoing gastrectomy. It will involve a single prospective cohort of consecutive patients who underwent total gastrectomy with complete en bloc omentectomy and modified D2 lymphadenectomy. Post-surgery, the omentum will dissect from the gastrectomy specimen beyond the gastroepiploic vessels and examine separately for pathological assessment. The primary outcome will focus on the detection of omental metastases.
Interventions
Without any intervention, we only divided gastric cancer patients into two groups based on postoperative pathology, and analyzed their basic characteristics and risk factors
Sponsors
Study design
Eligibility
Inclusion criteria
1. pathological confirmation of gastric cancer 2. eligibility for surgical intervention 3. undergoing first rectal cancer surgery 4. acquisition of written informed consent from patients and their families 5. no history of hypertrophic scar or allergic predispositions
Exclusion criteria
1. absence of postoperative pathology of the omentum 2. diagnosis of multiple primary malignancies 3. intraoperative discovery of widespread implant metastases within the abdominal cavity 4. severe comorbidities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| patients with omental metastases | up to 2 weeks after gastric cancer surgery | After the operation, the postoperative pathological examination of the patient indicated the presence of omental metastases |
| patients without omental metastases | up to 2 weeks after gastric cancer surgery | After surgery, pathological examination confirmed no omental metastases |
Countries
China