Comparison With Open and Totally Laparoscopic Gastrectomy for Gastric Cancer in a Low Volume Center
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Previous abdominal surgery status
研究概览
简要总结
In gastric cancer, laparoscopic gastrectomy is commonly performed in Asian countries. In other regions where tumor incidence is relatively low and patient characteristics are different, developments in this issue have been limited. In this study, the investigators aimed to compare the early results for patients who underwent open or laparoscopic gastrectomy for gastric cancer in a center in Turkey.
详细描述
The patients who were operated in Kocaeli Derince Training and Research Hospital between January 2014 and January 2019 consecutively due to gastric cancer were analyzed. The diagnosis was made by upper gastrointestinal endoscopy and endoscopic biopsy. Clinical staging was done using contrast computed tomography (CT). Positron emission tomography (PET) was used in patients with suspected metastasis.The patients were divided into two groups according to the technique applied (open, laparotomy). The first group (Group 1; n: 30) consisted of patients who underwent open surgery, and the second group (Group 2, n: 30) laparoscopic surgery.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Gastric cancer(adenocarcinoma) proven biopsy
- •Operated by same surgical team
- •Presence of distant metastasis
排除标准
- •Patients who underwent palliative resection
- •operated by a different surgical team
- •ASA score: 4
结局指标
主要结局
Previous abdominal surgery status
时间窗: 2014-2019
yes or no
Comorbidity status
时间窗: 2014 -2019
present or absent
Neoadjuvant therapy status
时间窗: 2014-2019
present or absent
American Society of Anesthesiologists (ASA) score
时间窗: 2014-2019
1,2,3,4
Body mass index
时间窗: 2014- 2019
kg/m2
Gender
时间窗: 2014-2019
male or female
Surgical technique
时间窗: 2014-2019
open or laparoscopic
Operation time
时间窗: 2014 - 2019
minute
Complication (Clavien-Dindo Classification)
时间窗: 2014 - 2019
1,2,3 A,3 B,4 A,4 B,5 (according to Clavien-Dindo Classification)
Age
时间窗: 2014-2019
year
Tumor localization
时间窗: 2014 - 2019
proximal, middle, lower
Gastrectomy type
时间窗: 2014 - 2019
total, subtotal
Lymph node dissection type
时间窗: 2014 - 2019
D1+, D2
Blood loss
时间窗: 2014 - 2019
ml
30-day mortality
时间窗: 2014 - 2019
present or absent
Number of harvested lymph node
时间窗: 2014 - 2019
number
Resection margin status
时间窗: 2014 - 2019
positive or negative
Tumor stage (American Joint Committee on Cancer 8th Edition)
时间窗: 2014 - 2019
0,1,2 A,2 B,3,4 A, 4 B (According to American Joint Committee on Cancer 8th Edition)
次要结局
未报告次要终点
研究者
Adem Yuksel
M.D. Department of Gastroenterological surgery,Principal Investigator
Kocaeli Derince Education and Research Hospital