Status:
UNKNOWN
A Trial of Total Versus Partial Omentectomy for Advanced Gastric Cancer in Gastrectomy
Lead Sponsor:
Tianjin Medical University Cancer Institute and Hospital
Conditions:
Gastric Cancer
Eligibility:
All Genders
18-70 years
Phase:
NA
Brief Summary
The main purpose of this study is to evaluate the impact of omentectomy for advanced gastric cancer on patient survival.
Detailed Description
Surgical resection is the mainstay of treatment for gastric cancer. The extent of surgical resection includes total or subtotal gastrectomy, D2 lymphadenectomy, and prophylactic or therapeutic resecti...
Eligibility Criteria
Inclusion
- Had been treated with Radical resection (D2, R0) of gastric cancer (Lymph node≥16);
- Physical condition and organ function allows to tolerable abdominal surgery;
- Willing and able to comply with the program during the study period;
- Written informed consent provided;
- ≥ 18 and ≤ 70 years of age; preoperative gastric cancer patients with pathologically confirmed;
- With more than a 6-month life expectancy;
- No other serious concomitant diseases; Sufficient organ functions;
- No previous history of chemotherapy or radiotherapy;
- All patients accept 8 cycles XELOX chemotherapy regimen;
- Clinical stage: T2-4aN0-+M0;
- Macroscopic types :Borrmann I-III;
- Not greater curvature tumor;
- No previous surgery for any abdominal disease, except an appendectomy for appendicitis, a laparoscopic cholecystectomy for gallbladder stones; No previous history of peritonitis, pancreatitis;
- Karnofsky performance status (KPS)\>60; Eastern Cooperative Oncology Group Performance Status (ECOG): 0-1.
Exclusion
- Pregnancy or breast feeding;
- Patients with Serious liver disease (such as cirrhosis, etc.), kidney disease, respiratory disease or uncontrolled diabetes, hypertension and other chronic systemic diseases, heart disease with Clinical symptoms, such as congestive heart failure, coronary heart disease symptoms, drug is difficult to control arrhythmia, hypertension, or six months had a myocardial infarction attack, or cardiac insufficiency;
- Organ transplantation patients need immunosuppressive therapy;
- Severe recurrent infections were not controlled or with other serious concomitant diseases;
- Patients got other primary malignant tumors (except curable skin basal cell carcinoma and cervical cancer in situ) except gastric cancer within 5 years;
- Psychiatric disease which require treatment;
- Have the history of organ transplantation;
- Within 6 months before study starts and in the process of this study, patients participate in other clinical researches.
- Advanced gastric cancer with omentum invasion
- Patients can't treated with XELOX after surgery;
- Macroscopic types : Borrmann IV;
- Tumor invasion of adjacent organ (T4b) or with distant metastasis（M1）;
- Tumor invasion the greater curvature invasion.
Key Trial Info
Start Date :
January 1 2019
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2025
Estimated Enrollment :
418 Patients enrolled
Trial Details
Trial ID
NCT04108494
Start Date
January 1 2019
End Date
December 31 2025
Last Update
September 30 2019
Active Locations (1)
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1
Tianjin Medical University Cancer Hospital
Tianjin, Tianjin Municipality, China, 300060