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RecruitingNCT05938309Updated Jul 10, 2023

A Cohort Study on the Safety of Laparoscopic Resection of 5cm or Larger Gastric Gastrointestinal Stromal Tumors

An observational study in Gastrointestinal Stromal Tumors, sponsored by Fujian Medical University. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-07-10.

Sponsored by Fujian Medical University · Observational

From the registry’s dates

  • Primary completion was expected by May 2025, 1 year 5 months ago, but the record still lists the study as recruiting.
  • Started May 2023; still recruiting 3 years 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
194
Ages
18 Years to 75 Years
Sex
All
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Study summary

The purpose of this study is to explore the safety of laparoscopic resection of 5cm or larger gastric gastrointestinal stromal tumors

Read the detailed description

There is a lack of high-quality evidence on the efficacy and safety of laparoscopic resection of gastric GIST over 5cm. A multicenter, prospective cohort study was conducted to evaluate the clinical efficacy of laparoscopic resection of 5cm or larger gastric gastrointestinal stromal tumors (GIST) compared to laparoscopic resection of GIST of less than 5cm. The primary evaluation parameter is overall postoperative morbidity.

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Conditions studied

  • Gastrointestinal Stromal Tumors

Keywords

  • Gastrectomy
  • Laparoscopic
  • gastrointestinal stromal tumor
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In context

Gastrointestinal Stromal Tumors

345 studies on the registry are indexed under Gastrointestinal Stromal Tumors; 60 are open to participants now.

This study's planned enrollment of 194 is above the median of 128 across 69 observational studies indexed under Gastrointestinal Stromal Tumors.

Browse Gastrointestinal Stromal Tumors studies →

Lead sponsor

Fujian Medical University is the lead sponsor of 148 studies on the registry; 52 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients who are assigned to undergo gastrectomy for gastric gastrointestinal stromal tumors are included.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. 18 years \< age \< 75 years
  2. Primary gastric lesion diagnosed as gastric GSIT by endoscopic biopsy histopathology or suspected gastric GIST by preoperative endoscopy, ultrasound endoscopy, or CT or MR, and confirmed as primary gastric GIST by postoperative pathology
  3. Patient informed consent and willingness to undergo laparoscopic resection
  4. Expected laparoscopic outcome of R0 resection
  5. Performance status: Eastern Cooperative Oncology Group (ECOG) ≤ 2, Preoperative American Society of Anesthesiologists(ASA) score I-III

Exclusion criteria

Exclusion Criteria:

  1. Women during pregnancy or breast-feeding
  2. Severe mental disorder
  3. History of upper abdominal surgery (except the history of laparoscopic cholecystectomy)
  4. History of gastric surgery (except ESD/EMR for gastric cancer)
  5. History of other malignant diseases within the past five years
  6. History of unstable angina or myocardial infarction within the past six months
  7. History of a cerebrovascular accident within the past six months
  8. History of continuous systematic administration of corticosteroids within one month
  9. Requirement of simultaneous surgery for other diseases
  10. Emergency surgery due to complications (bleeding, obstruction, or perforation) caused by gastric cancer
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
194 participants (estimated)
Patient registry
No

Groups and cohorts

  • large group

    laparoscopic resection of 5cm or larger gastric gastrointestinal stromal tumors

  • small group

    laparoscopic resection of less than 5cm gastric gastrointestinal stromal tumors

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What researchers measure

Primary outcomes

  1. Overall postoperative morbidity

    This is for the incidence of early postoperative complications, which defined as the event observed within 30 days after surgery.

    Time frame: 30 days after surgery or the first discharge ( if over 30 days hospital stay)

Secondary outcomes

  1. intraoperative morbidity rates

    The intraoperative postoperative morbidity rates are defined as the rates of event observed within operation.

    Time frame: 1 day

  2. Conversion to open surgery rate

    Conversion to open surgery rate is defined as the rate of open surgery whatever the reason

    Time frame: 1 day

  3. Positive surgical margin rate

    Positive surgical margin rate

    Time frame: 1 day

  4. The variation of white blood cell count

    The values of white blood cell count from peripheral blood before operation and on postoperative day 1, 3, 5 are recorded to access the inflammatory and immune response.

    Time frame: Preoperative 7 days and postoperative 1, 3, and 5 days

  5. The variation of hemoglobin

    The values of hemoglobin in gram/liter from peripheral blood before operation and on postoperative day 1, 3, 5 are recorded to access the inflammatory and immune response.

    Time frame: Preoperative 7 days and postoperative 1, 3, and 5 days

  6. The variation of C-reactive protein

    The values of C-reactive protein in milligram/liter from peripheral blood before operation and on postoperative day 1, 3, 5 are recorded to access the inflammatory and immune response

    Time frame: Preoperative 7 days and postoperative 1, 3, and 5 days

  7. overall postoperative serious morbidity rates

    According to the Clavien-Dindo complication scoring system, grade IIIA and above is a serious complication, and when multiple complications occur at the same time, the complication with the highest grade will prevail.

    Time frame: 30 days after surgery or the first discharge ( if over 30 days hospital stay)

  8. Time to first ambulation

    Time to first ambulation in days is used to assess the postoperative recovery course.

    Time frame: 30 days

  9. Time to first flatus

    Time to first flatus in days is used to assess the postoperative recovery course.

    Time frame: 30 days

  10. Time to first liquid diet

    Time to first liquid diet in days is used to assess the postoperative recovery course.

    Time frame: 30 days

  11. Time to first soft diet

    Time to first soft diet in days is used to assess the postoperative recovery course.

    Time frame: 30 days

  12. Duration of postoperative hospital stay

    Duration of postoperative hospital stay in days is used to assess the postoperative recovery course.

    Time frame: 30 days

  13. 3-year overall survival rate

    3-year overall survival rate

    Time frame: 36 months

  14. 3-year disease free survival rate

    3-year disease free survival rate

    Time frame: 36 months

  15. 3-year recurrence pattern

    Recurrence patterns are classified into four categories at the time of first diagnosis: locoregional, hematogenous, peritoneal, and mixed type

    Time frame: 36 months

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Study locations

1 of 1 sites recruiting
  • Department of Gastric Surgery, Fujian Medical University Union Hospital
    Fuzhou, Fujian, China
    Recruiting
08

References and documents

Publications

  • Joensuu H, Hohenberger P, Corless CL. Gastrointestinal stromal tumour. Lancet. 2013 Sep 14;382(9896):973-83. doi: 10.1016/S0140-6736(13)60106-3. Epub 2013 Apr 24. PubMed 23623056 ↗
  • Dematteo RP, Gold JS, Saran L, Gonen M, Liau KH, Maki RG, Singer S, Besmer P, Brennan MF, Antonescu CR. Tumor mitotic rate, size, and location independently predict recurrence after resection of primary gastrointestinal stromal tumor (GIST). Cancer. 2008 Feb 1;112(3):608-15. doi: 10.1002/cncr.23199. PubMed 18076015 ↗
  • Bischof DA, Kim Y, Dodson R, Carolina Jimenez M, Behman R, Cocieru A, Blazer DG 3rd, Fisher SB, Squires MH 3rd, Kooby DA, Maithel SK, Groeschl RT, Clark Gamblin T, Bauer TW, Karanicolas PJ, Law C, Quereshy FA, Pawlik TM. Open versus minimally invasive resection of gastric GIST: a multi-institutional analysis of short- and long-term outcomes. Ann Surg Oncol. 2014 Sep;21(9):2941-8. doi: 10.1245/s10434-014-3733-3. Epub 2014 Apr 24. PubMed 24763984 ↗
  • De Vogelaere K, Hoorens A, Haentjens P, Delvaux G. Laparoscopic versus open resection of gastrointestinal stromal tumors of the stomach. Surg Endosc. 2013 May;27(5):1546-54. doi: 10.1007/s00464-012-2622-8. Epub 2012 Dec 12. PubMed 23233005 ↗
  • Goh BK, Goh YC, Eng AK, Chan WH, Chow PK, Chung YF, Ong HS, Wong WK. Outcome after laparoscopic versus open wedge resection for suspected gastric gastrointestinal stromal tumors: A matched-pair case-control study. Eur J Surg Oncol. 2015 Jul;41(7):905-10. doi: 10.1016/j.ejso.2015.04.001. Epub 2015 Apr 15. PubMed 25913060 ↗
  • von Mehren M, Randall RL, Benjamin RS, Boles S, Bui MM, Casper ES, Conrad EU 3rd, DeLaney TF, Ganjoo KN, George S, Gonzalez RJ, Heslin MJ, Kane JM 3rd, Mayerson J, McGarry SV, Meyer C, O'Donnell RJ, Pappo AS, Paz IB, Pfeifer JD, Riedel RF, Schuetze S, Schupak KD, Schwartz HS, Van Tine BA, Wayne JD, Bergman MA, Sundar H. Gastrointestinal stromal tumors, version 2.2014. J Natl Compr Canc Netw. 2014 Jun;12(6):853-62. doi: 10.6004/jnccn.2014.0080. PubMed 24925196 ↗
  • Goh BK, Chow PK, Chok AY, Chan WH, Chung YF, Ong HS, Wong WK. Impact of the introduction of laparoscopic wedge resection as a surgical option for suspected small/medium-sized gastrointestinal stromal tumors of the stomach on perioperative and oncologic outcomes. World J Surg. 2010 Aug;34(8):1847-52. doi: 10.1007/s00268-010-0590-5. PubMed 20407770 ↗
  • Piessen G, Lefevre JH, Cabau M, Duhamel A, Behal H, Perniceni T, Mabrut JY, Regimbeau JM, Bonvalot S, Tiberio GA, Mathonnet M, Regenet N, Guillaud A, Glehen O, Mariani P, Denost Q, Maggiori L, Benhaim L, Manceau G, Mutter D, Bail JP, Meunier B, Porcheron J, Mariette C, Brigand C; AFC and the FREGAT working group. Laparoscopic Versus Open Surgery for Gastric Gastrointestinal Stromal Tumors: What Is the Impact on Postoperative Outcome and Oncologic Results? Ann Surg. 2015 Nov;262(5):831-9; discussion 829-40. doi: 10.1097/SLA.0000000000001488. PubMed 26583673 ↗
  • Khoo CY, Goh BKP, Eng AKH, Chan WH, Teo MCC, Chung AYF, Ong HS, Wong WK. Laparoscopic wedge resection for suspected large (>/=5 cm) gastric gastrointestinal stromal tumors. Surg Endosc. 2017 May;31(5):2271-2279. doi: 10.1007/s00464-016-5229-7. Epub 2016 Sep 8. PubMed 27631317 ↗
  • Park SH, Lee HJ, Kim MC, Yook JH, Sohn TS, Hyung WJ, Ryu SW, Kurokawa Y, Kim YW, Han SU, Kim HH, Park DJ, Kim W, Lee SI, Cho H, Cho GS, Kim JJ, Kim KH, Yoo MW, Yang HK. Early experience of laparoscopic resection and comparison with open surgery for gastric gastrointestinal stromal tumor: a multicenter retrospective study. Sci Rep. 2022 Feb 10;12(1):2290. doi: 10.1038/s41598-022-05044-x. PubMed 35145127 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2023, 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
NCT05938309
Collaborators
Fujian Provincial Hospital, Fujian Cancer Hospital, First Affiliated Hospital of Fujian Medical University, 900th Hospital of PLA Joint Logistic Support Force, The First Affiliated Hospital of Xiamen University, The Second Affiliated Hospital of Fujian Medical University, The First Hospital of Putian City, The Affiliated Hospital(Group) of Putian University, Zhangzhou Municipal Hospital of Fujian Province, Longyan City First Hospital
Responsible party
Chang-Ming Huang, Prof. (Director, Head of Department of Gastric Surgery, Principal Investigator, Clinical Professor, Fujian Medical University) — Principal investigator
First posted
Jul 10, 2023
Start date
May 1, 2023
Primary completion
May 1, 2025 (estimated)
Completion
May 1, 2028 (estimated)
Last update
Jul 10, 2023

Study contacts

Ping Li, MD,PhD
Contact
Pingli811002@163.com
+8613365918502
Linghua Wei
Contact
weilinghua12345@163.com
+8613512556021

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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