Comparison of Textbook Outcomes Between Laparoscopic and Open Total Gastrectomy for Gastric Cancer
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 94
- 试验地点
- 1
- 主要终点
- Textbook Outcome
研究概览
简要总结
Gastric cancer patients underwent total gastrectomy with curative intent between in a single center were included in this retrospective study. Patients divided to two groups as open and laparoscopic groups and compared in terms of demographic data, tumor characteristics, operative data and textbook outcome
详细描述
Gastric cancer patients underwent total gastrectomy with curative intent between July 2018 and January 2024 in a single center were included in this retrospective observational study. Enrolled patients divided to two groups as open total gastrectomy (open group) and laparoscopic total gastrectomy (lap group).
Data of patients obtained via the hospital software system. Demographic data, body mass index(BMI), Charlson comorbidity index (CCI) score and baseline characteristics, operative and postoperative results, tumor characteristics and textbook outcome results were investigated. Postoperative complications were pancreatic fistula, pleural effusion, pneumonia, anastomotic leak, intraabdominal abscess, surgical site infection, postoperative ileus.
All patients were already curative surgery patients and underwent total gastrectomy and D2 lymphadenectomy. Apart from this, the list of criteria for a patient who had a textbook outcome was as follows: no intraoperative complication, achievement of tumor-negative margins, including ≥15 harvested lymph nodes in resected specimen, no severe postoperative complication(Clavien-Dindo Score≥3, (CD)), no reintervention, no readmission to intensive care unit after once coming to the surgical ward, no prolonged hospital stay (≤21 days), no postoperative mortality (30 days) and no readmission after discharge from the hospital
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Gastric cancer patients underwent total gastrectomy with curative intent
排除标准
- •Emergency surgery,
- •Recurrent disease
- •Metastatic disease,
- •Conversion to open surgery,
- •Robotic gastrectomy.
结局指标
主要结局
Textbook Outcome
时间窗: 30 days
The criteria required for a patient who underwent total gastrectomy to have reached a textbook outcome are as follows: * no intraoperative complication, * achievement of tumor-negative margin, * including ≥15 harvested lymph nodes in resected specimen, * no severe postoperative complication(Clavien-Dindo Score≥3, (CD)), * no reintervention, * no readmission to intensive care unit after once coming to the surgical ward, * no prolonged hospital stay (≤21 days), * no postoperative mortality (30 days) and * no readmission after discharge from the hospital
次要结局
未报告次要终点
研究者
Turgut Donmez
Ass. Prof. Dr.
Bakirkoy Dr. Sadi Konuk Research and Training Hospital