Laparoscopic Gastrectomy for Advanced Gastric Cancer
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Purpose
Although laparoscopic gastrectomy (LG) is widely used for the treatment of early gastric cancer, there have been few reports of the efficacy of LAG in the management of advanced gastric cancer(AGC). The aim of this study is to evaluate the surgical outcomes and oncologic safety of laparoscopic gastrectomy for AGC.
| Condition | Intervention | Phase |
|---|---|---|
|
Advanced Gastric Cancer Laparoscopic Gastrectomy |
Procedure: Laparoscopic gastrectomy |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
- 3 year recurrence free survival [ Time Frame: Postoperative 3 year ] [ Designated as safety issue: Yes ]Evaluation of recurrence after regular 3 months follow-up using tumor marker, chest x-ray, endoscopy and computed tomograhy.
| Estimated Enrollment: | 200 |
| Study Start Date: | November 2008 |
| Estimated Study Completion Date: | May 2015 |
| Primary Completion Date: | May 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Laparoscopic gastrectomy
Laparoscopic gastrectomy procedure: D2 lymphadenectomy & total omentectomy in case of tumor with serosa exposure under laparoscopic exploration |
Procedure: Laparoscopic gastrectomy
Operative procedure: laparoscopic gastrectomy(D2 lymphadenectomy according to JGCA guideline and total omentectomy for tumor with serosa exposure)
|
Detailed Description:
Prospective phase II clinical trial to evaluate technical and oncological safety of LG for AGC
LG procedure for AGC:
D2 lymphadenectomy Total omentectomy for tumor with serosa exposure under laparoscopic exploration
Primary end point: 3 year disease free survival secondary end point: postoperative outcomes, morbidity and mortality, 3,5 and 7 year overall survival, Quality of life, recurrence pattern
Study duration: 7 years(enrollment: 4year, follow-up: 3year)
Eligibility| Ages Eligible for Study: | 20 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 20-80
- informed consent
- no other malignancies
- cT2N0-cT3N2 according to JGCA 2nd edition
- ASA score<3
Exclusion Criteria:
- distant metastasis(P1 or M1) under laparoscopic exploration
- Conglomerated N2
- early gastric cancer in permanent pathologic report
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Hyung-Ho Kim, Principal Investigator, Seoul National University Bundang Hospital |
| ClinicalTrials.gov Identifier: | NCT01441336 History of Changes |
| Other Study ID Numbers: | SNUBHGS02 |
| Study First Received: | September 25, 2011 |
| Last Updated: | May 21, 2012 |
| Health Authority: | Korea: Institutional Review Board |
Additional relevant MeSH terms:
|
Stomach Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site |
Neoplasms Digestive System Diseases Gastrointestinal Diseases Stomach Diseases |
ClinicalTrials.gov processed this record on May 23, 2013