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临床试验/NCT04164095
NCT04164095尚未招募不适用

A Multicenter Randomized Controlled Study of the Effect of Laparoscopic Preservation of the Pylorus and Vagus Nerve on the Postoperative Quality of Life in Patients With Early Gastric Cancer

RenJi Hospital0 个研究点目标入组 160 人开始时间: 2020年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
入组人数
160
主要终点
EORTC-QLQ-C30

研究概览

简要总结

For the patients with early gastric cancer (T1), preoperative evaluation (gastroscope, ultrasound gastroscope and abdominal enhanced CT) showed that the tumor was located in the body of the stomach, and the margin was enough to retain the pylorus and non lymph node metastasis (N0). Lappg (D1 + lymph node dissection) and traditional laparoscopic distal gastrectomy (BII type anastomosis, D1 + lymph node dissection) were included A control study was conducted to evaluate the influence of two surgical methods on the long-term quality of life of patients after operation

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 18 years old < age < 75 years old;
  • primary gastric lesions were diagnosed as gastric adenocarcinoma by biopsy;
  • the preoperative clinical stage was T1N0M0 according to ajcc-7thtnm;
  • it is predicted that R0 can be obtained by pylorogastric gastrectomy and D1 + lymph node dissection;
  • preoperative ECoG physical state score 0 / 1;
  • preoperative ASA score I-III;
  • informed consent of patients.

排除标准

  • pregnant or lactating women; suffering from serious mental illness;
  • the history of upper abdominal surgery (except laparoscopic cholecystectomy);
  • history of gastric surgery (including ESD / EMR for gastric cancer);
  • preoperative imaging examination showed regional enlarged lymph nodes;
  • having other malignant diseases within 5 years;
  • patients with gastric cancer who have received new adjuvant therapy or recommended new adjuvant therapy;
  • there was a history of unstable angina or myocardial infarction within 6 months;
  • have a history of cerebral infarction or cerebral hemorrhage within 6 months;
  • there was a history of continuous systemic corticosteroid therapy within 1 month;
  • simultaneous surgical treatment of other diseases is needed;
  • gastric cancer with complications (hemorrhage, perforation, obstruction) requires emergency surgery;
  • FEV1 of pulmonary function examination was less than 50% of the predicted value.

结局指标

主要结局

EORTC-QLQ-C30

时间窗: 5 years

score: 0-100. more global and functional scales is better. less symptom scales is better

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

zhaogang

PROFESSOR

RenJi Hospital

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