distal gastrectomy with D2 lymphadenectomy plus complete mesogastric excision (CME) in gastric cancer
distal gastrectomy with D2 lymphadenectomy plus complete mesogastric excision (CME) in gastric cancer: distal gastrectomy with D2 lymphadenectomy plus complete mesogastric excision (CME) in gastric cancer
Study summary
This study aims to evaluate lymph node metastasis and tumor deposit in the posterior gastric mesentery following distal gastrectomy with D2 lymphadenectomy plus complete mesogastric excision (CME) in gastric cancer.
Eligibility
Sex
ALL
Min age
18 Years
Max age
85 Years
Healthy volunteers
No
Inclusion Criteria:
1. Aged older than 18 years and younger than 85 years
2. Primary gastric adenocarcinoma confirmed by preoperative pathology result
3. cT2-4N0-3M0 at preoperative evaluation according to the American Joint 8 Committee on Cancer (AJCC) Cancer Staging Manual 7th Edition
4. Patients who received distal gastrectomy with D2 lymphadenectomy plus complete mesogastric excision
5. American Society of Anesthesiologists (ASA) class I, II, or III
6. Written informed consent
Exclusion Criteria:
1. Negative preoperative biopsy
2. Too late tumour stage or metastasis (cT4b/M1)
3. BMI\>30 kg/m2
4. Total gastrectomy or proximal gastrectomy
5. previous neoadjuvant chemotherapy or radiotherapy
6. Previous upper abdominal surgery
7. Combined with other malignant diseases
8. Reject operation
Primary outcome measure(s)
Rate of lymph node metastasis and tumor deposit in the posterior gastric mesentery — through study completion, an average of 1 year
Trial sites (1)
Facility
City
Region
Status
Department of Gastrointestinal Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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