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Trial Title: Standardization of D2 Lymphadenectomy and Surgical Quality Control: KLASS-02-QC

NCT ID: NCT01283893

Condition: Gastric Cancer

Conditions: Official terms:
Stomach Neoplasms

Study type: Observational

Overall status: Unknown status

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Procedure
Intervention name: Laparoscopic distal gastrectomy with D2 lymphadenectomy
Description: The commonly practice laparoscopic surgery for gastric cancer involves a partial omentectomy+D1+b lymphadenectomy which includes the dissection of Lymph node stations 1, 3, 4, 5, 6, 7, 8a, 9; however, when performing a D2 lymph node dissection, a total omentectomy plus LN1, 3, 4, 5, 6, 7, 8a, 9, 12a retrieval will be completed. The same total omentectomy+D2 lymphadenectomy will also be performed by the open method.
Arm group label: Laparoscopy group
Arm group label: Open group

Summary: Gastric cancer is one of the most common cancers in Korea. Having achieved excellent long-term survival for early gastric cancer patients, there is a growing interest in improving the quality of life of these patients without compromising their prognosis. Laparoscopic surgery for early gastric cancer have been found to be safe and feasible with superior short-term outcomes. Although laparoscopic gastrectomy with D2 lymphadenectomy is being performed for patients with locally advanced gastric cancer; the completeness of the D2 lymphadenectomy during laparoscopic surgery has not been evaluate and no standardized procedure exists. To conduct a clinical trial comparing laparoscopic D2 lymphadenectomy to the open approach, quality control of D2 lymphadenectomy procedure is necessary.

Criteria for eligibility:

Study pop:
Gastric cancer patients

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Patients must have documented diagnosis of gastric cancer - Patients receiving laparoscopic gastric cancer surgery without preoperative evidence of serosal invasion and distant lymph node metastasis as determined by evaluation of preoperative CT-scan, upper endoscopy, or endoscopic ultrasound. - Patients undergoing gastric cancer surgery without plans for combined operations, such as resection of another organ for another primary disease. - Patients who have received comprehensive explanation about the planned study, understand and accept all the terms of the study and willingly give consent to participate in all the required elements of the study Exclusion Criteria: - Patients without mental competence - Patients who are illiterate - Patients who are pregnant - Patients < 20 and > 80 years old

Gender: All

Minimum age: 20 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Severance Hospital

Address:
City: Seoul
Zip: 120-752
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Woo Jin Hyung, MD, Ph.D

Phone: 82-2-2228-2129
Email: wjhyung@yuhs.ac

Start date: December 2010

Completion date: August 2013

Lead sponsor:
Agency: Yonsei University
Agency class: Other

Source: Yonsei University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT01283893

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