Laparoscopic-endoscopic Surgery Assisted Sentinel Lymph Node Navigation Surgery for Early Gastric Cancer
A Prospective Registry Study of Laparoscopic-endoscopic Cooperative Surgery Assisted Sentinel Lymph Node Navigation Surgery for Early Gastric Cancer
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Fase
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
Studiecontact
- Naam: Quan Wang, Professor
- Telefoonnummer: 15843073207
- E-mail: wquan@jlu.edu.cn
Studie Locaties
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Jilin
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Changchun, Jilin, China, 130021
- Werving
- The First Hospital of Jilin University
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Contact:
- Quan Wang, Professor
- Telefoonnummer: 86-15843073207
- E-mail: wquan@jlu.edu.cn
-
Contact:
- E-mail: yang_dong@jlu.edu.cn
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Ch’ang-ch’un, Jilin, China, 130021
- Actief, niet wervend
- The First Hospital of Jilin University
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-
Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Preoperative assessment indicating that the tumor was confined to the mucosa or submucosa, consistent with the diagnosis of early gastric cancer.
- Patients who required additional surgical intervention following initial endoscopic submucosal dissection (ESD) based on postoperative pathological evaluation.
- Patients and their families fully understood the procedure, requested dual-endoscope assisted sentinel lymph node navigation surgery, agreed to participate in this clinical study, and signed the informed consent form.
Exclusion Criteria:
- Preoperative assessment indicating suspected lymph node or distant metastasis.
- History of complex abdominal surgery rendering laparoscopic treatment infeasible.
- Participation in another clinical trial within 4 weeks prior to enrollment or currently participating in another trial.
- History of severe psychiatric disorders.
- Pregnant or lactating women.
- Uncontrolled infection prior to surgery.
- Presence of other malignancies or comorbidities that may significantly affect survival.
- Any other conditions deemed by the investigators as unsuitable for participation, or refusal by the patient or family to enroll.
- Cardiopulmonary, hepatic, and renal functions were unsufficient to tolerate the surgery.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
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Experimenteel: Sentinel Lymph Node Navigation Surgery
Laparoscopic-endoscopic cooperative surgery (LECS) Assisted Sentinel Lymph Node Navigation Surgery for Early Gastric Cancer
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After preoperative assessment and confirmation of eligibility, patients received general anesthesia with endotracheal intubation.
Indocyanine green (ICG) was injected submucosally around the lesion in four quadrants to trace the sentinel lymph node (SLN) basin.
Laparoscopic marking of the SLN basin was performed.
Endoscopy assisted laparoscopy in marking the primary lesion border (ensuring a margin of >0.5 cm).
Laparoscopic sentinel lymph node dissection was performed, followed by endoscopic/laparoscopic full-thickness resection of the lesion.
Gastric wall defects were closed laparoscopically.
SLNs were harvested and sent for intraoperative frozen section pathology.
If positive, a standard radical gastrectomy was performed; if negative, an abdominal drainage tube was placed to complete the procedure.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Incidence of perioperative complications.
Tijdsspanne: One month after surgery
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Postoperative complications comprised hemorrhage, obstruction, gastrointestinal motility disorders, and fistulas.
The overall complication rate was calculated as the number of patients with complications divided by the total number of patients in the cohort.
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One month after surgery
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Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Number of retrieved lymph nodes.
Tijdsspanne: One week after the surgery.
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The number of lymph nodes retrieved from all resected specimens.
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One week after the surgery.
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Andere uitkomstmaten
Andere uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
R0 resection rate
Tijdsspanne: One month after surgery.
|
The R0 resection rate was defined as the proportion of patients with histopathologically confirmed complete resection and negative margins among all enrolled patients.
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One month after surgery.
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Number of patients requiring further therapy
Tijdsspanne: Three month after surgery.
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Number of patients requiring further therapy (e.g., standard radical gastrectomy or chemotherapy).
|
Three month after surgery.
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the number of postoperative hospital stay in days.
Tijdsspanne: One month after the surgery.
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Time from surgery to discharge was recorded in days.
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One month after the surgery.
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the number of time to first resumption of liquid diet in days
Tijdsspanne: One month after surgery.
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Time to first resumption of liquid diet was recorded in days.
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One month after surgery.
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the total number of Hospitalization costs in Chinese Yuan (CNY).
Tijdsspanne: One month after surgery.
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Total hospitalization costs were calculated in Chinese Yuan (CNY).
|
One month after surgery.
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the rate of positive cytological examination results of peritoneal lavage fluid.
Tijdsspanne: One week after surgery.
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Cytological examination of the irrigation fluid from the surgical field was performed postoperatively.
A finding of tumor cells was considered positive.
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One week after surgery.
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Medewerkers en onderzoekers
Sponsor
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- 130019
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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