CClinicalTrials.gg
Status unknownNCT02219854Updated Mar 5, 2019

Single-center Study on Laparoscopic Distal Subtotal Gastrectomy for Advanced Gastric Cancer

An interventional study of Laparoscopic gastrectomy and Open gastrectomy in Stomach Neoplasms, sponsored by Third Affiliated Hospital, Sun Yat-Sen University. Status unknown at 1 site in China. Open to participants aged 19 Years to 74 Years. Per ClinicalTrials.gov, last updated 2019-03-05.

Sponsored by Third Affiliated Hospital, Sun Yat-Sen University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
178
Allocation
Randomized
Ages
19 Years to 74 Years
Sex
All
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Study summary

Laparoscopic distal subtotal gastrectomy with lymph node dissection for treatment of gastric cancer is popular in East Asian countries. However, the long-term follow-up outcome based on randomized clinical trial (RCT) is still rare. Some studies indicated that laparoscopic distal subtotal gastrectomy with D2 lymphadenectomy is a technically feasible and safe procedure by experienced surgeons in high-volume specialized hospitals. However, the application of it is still limited because of lack of solid evidence on the oncologic efficacy. Nowadays, the proportion of patients with locally advanced gastric cancer is estimated up to 80 percent of all gastric cancer cases in China. Before the clinical application of laparoscopic procedure for the treatment with curative intent to advanced gastric cancer located at the middle- or lower-third of the stomach, the oncologic efficacy must be verified.Accordingly, the comparison of long-term outcome between laparoscopic and open distal subtotal gastrectomy with D2 lymphadenectomy for locally advanced gastric cancer based on a well designed RCT is needed.

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Conditions studied

  • Stomach Neoplasms

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03

In context

Stomach Neoplasms

2,851 studies on the registry are indexed under Stomach Neoplasms; 864 are open to participants now.

This study's planned enrollment of 178 is above the median of 67 across 2,096 interventional studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Third Affiliated Hospital, Sun Yat-Sen University is the lead sponsor of 130 studies on the registry; 34 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
19 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age from over 18 to under 75 years Primary gastric adenocarcinoma (papillary, tubular, mucinous, signet ring cell, or poorly differentiated) confirmed pathologically by endoscopic biopsy cT2-4a, N0-3, M0 at preoperative evaluation according to the AJCC Cancer Staging Manual Seventh Edition Expected curative resection through distal subtotal gastrectomy with D2 lymphadenectomy Performance status of 0 or 1 on ECOG (Eastern Cooperative Oncology Group) scale ASA (American Society of Anesthesiology) score class I, II, or III Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Women during pregnancy or breast-feeding Severe mental disorder History of previous upper abdominal surgery (except laparoscopic cholecystectomy) History of previous gastrectomy, endoscopic mucosal resection or endoscopic submucosal dissection Enlarged or bulky regional lymph node diameter over 3cm by preoperative imaging History of other malignant disease within past five years History of previous neoadjuvant chemotherapy or radiotherapy History of unstable angina or myocardial infarction within past six months History of cerebrovascular accident within past six months History of continuous systematic administration of corticosteroids within one month Requirement of simultaneous surgery for other disease Emergency surgery due to complication (bleeding, obstruction or perforation) caused by gastric cancer FEV1\<50% of predicted values
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
178 participants (estimated)

Study arms

  • Experimental
    Laparoscopic gastrectomy

    Laparoscopic distal subtotal gastrectomy with D2 lymphadenectomy will be performed for the treatment of patients assigned to this group.

    Procedure: Laparoscopic gastrectomy

  • Active comparator
    Open gastrectomy

    Open distal subtotal gastrectomy with D2 lymphadenectomy will be performed for the treatment of patients assigned to this group.

    Procedure: Open gastrectomy

Interventions

  • ProcedureLaparoscopic gastrectomy
  • ProcedureOpen gastrectomy
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What researchers measure

Primary outcomes

  1. 3-year disease free survival rate

    Time frame: 36 months

Secondary outcomes

  1. Morbidity

    Time frame: 30 days

  2. 3-year overall survival rate

    Time frame: 36 months

  3. 3-year recurrence pattern

    Time frame: 36 months

  4. Mortality

    Time frame: 30 days

  5. Morbidity

    Time frame: 36 months

  6. Mortality

    Time frame: 36 months

  7. Postoperative recovery situation

    Time to first ambulation, flatus, liquid diet, soft diet and duration of hospital stay are used to assess the postoperative recovery situation.

    Time frame: 10 days

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Study locations

1 of 1 sites recruiting
  • The Third Affiliated Hospital of Sun Yat-sen University
    Guangzhou, Guangdong 510630, China
    • Hongbo Wei, M.D., Ph.D. · Contact · 8613760660785
    • Hongbo Wei, M.D.,Ph.D. · Principal investigator
    Recruiting
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02219854
Lead sponsor
Third Affiliated Hospital, Sun Yat-Sen University
Responsible party
Hongbo Wei (Chief of surgery, Third Affiliated Hospital, Sun Yat-Sen University) — Principal investigator
First posted
Aug 19, 2014
Start date
Jul 2014
Primary completion
Dec 2019 (estimated)
Completion
Jul 2020 (estimated)
Last update
Mar 5, 2019

Study contacts

Hongbo Wei, M.D. Ph.D.
Contact
drweihb@126.com
+86-189-2210-2969

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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