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NCT Number: NCT04481828

Comparison With Open and Totally Laparoscopic Gastrectomy for Gastric Cancer

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.

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Key information

Age range

18 year–90 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Kocaeli Derince Training and research Hospital

Kocasinan, Derince, 41900, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Gastric cancer(adenocarcinoma) proven biopsy
  • Operated by same surgical team
  • Presence of distant metastasis

Exclusion criteria

  • Patients who underwent palliative resection
  • operated by a different surgical team
  • ASA score: 4

Treatment and study plan

gastrectomy

Procedure

gastric resection with lymph node dissection(D1+,D2) for stomach cancer.

Primary outcomes

  1. Age

    Time frame: 2014-2019

    year

  2. Body mass index

    Time frame: 2014- 2019

    kg/m2

  3. Previous abdominal surgery status

    Time frame: 2014-2019

    yes or no

  4. Comorbidity status

    Time frame: 2014 -2019

    present or absent

  5. Neoadjuvant therapy status

    Time frame: 2014-2019

    present or absent

  6. American Society of Anesthesiologists (ASA) score

    Time frame: 2014-2019

    1,2,3,4

  7. Gender

    Time frame: 2014-2019

    male or female

  8. Surgical technique

    Time frame: 2014-2019

    open or laparoscopic

  9. Tumor localization

    Time frame: 2014 - 2019

    proximal, middle, lower

  10. Gastrectomy type

    Time frame: 2014 - 2019

    total, subtotal

  11. Lymph node dissection type

    Time frame: 2014 - 2019

    D1+, D2

  12. Operation time

    Time frame: 2014 - 2019

    minute

  13. Blood loss

    Time frame: 2014 - 2019

    ml

  14. Complication (Clavien-Dindo Classification)

    Time frame: 2014 - 2019

    1,2,3 A,3 B,4 A,4 B,5 (according to Clavien-Dindo Classification)

  15. 30-day mortality

    Time frame: 2014 - 2019

    present or absent

  16. Number of harvested lymph node

    Time frame: 2014 - 2019

    number

  17. Resection margin status

    Time frame: 2014 - 2019

    positive or negative

  18. Tumor stage (American Joint Committee on Cancer 8th Edition)

    Time frame: 2014 - 2019

    0,1,2 A,2 B,3,4 A, 4 B (According to American Joint Committee on Cancer 8th Edition)

Sponsors and collaborators

Lead sponsor

Kocaeli Derince Education and Research Hospital

Other

Registry information

Official study title

Comparison With Open and Totally Laparoscopic Gastrectomy for Gastric Cancer in a Low Volume Center

Important dates

Study start
2014
Primary completion
2019
Study completion
2020
First posted
Jul 22, 2020
Registry last updated
Jul 22, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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