Total Robotic Versus Robotic Assisted Distal Gastrectomy for Gastric Cancer

NCT ID: NCT04795063

Last Updated: 2021-03-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2027-01-01

Brief Summary

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To evaluate the clinical efficacy (safety, feasibility and long-term efficacy) of total robotic versus robotic assisted distal gastrectomy for patients with gastric cancer (cT1-4a, N0/+, M0).

Detailed Description

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In the field of gastrectomy, Hashizume et al. first reported robotic gastrectomy in 2002. Since then, reports on the safety and feasibility of the application of robotic surgical system in the treatment of gastric cancer (GC) have gradually increased. Reports of robotic surgery for GC are increasing, especially in Asia. Several studies confirmed the advantages of robotic gastrectomy when compared with laparoscopic gastrectomy. However, whether total robotic gastrectomy is noninferior to robotic-assisted gastrectomy remains unclear. The investigator first carried out this study in the world to evaluate the efficacy of total robotic versus robotic assisted distal gastrectomy for GC.

Conditions

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Gastric Cancer Robotic Gastrectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Total Robotic Distal Gastrectomy

After exploration and randomization, patients received total robotic distal gastrectomy

Group Type EXPERIMENTAL

Total Robotic Distal Gastrectomy

Intervention Type PROCEDURE

All the surgical procedures are performed using the robot system.

Robotic-Assisted Distal Gastrectomy

After exploration and randomization, patients received robotic-assisted distal gastrectomy.

Group Type ACTIVE_COMPARATOR

Robotic-Assisted Distal Gastrectomy

Intervention Type PROCEDURE

After finishing the lymphadenectomy, the digestive tract reconstruction is performed extracorporal.

Interventions

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Total Robotic Distal Gastrectomy

All the surgical procedures are performed using the robot system.

Intervention Type PROCEDURE

Robotic-Assisted Distal Gastrectomy

After finishing the lymphadenectomy, the digestive tract reconstruction is performed extracorporal.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Age from over 18 to under 75 years
2. Primary gastric adenocarcinoma (papillary, tubular, mucinous, signet ring cell, or poorly differentiated) confirmed pathologically by endoscopic biopsy
3. cT1-4a (clinical stage tumor), N-/+, M0 at preoperative evaluation according to the American Joint Committee on Cancer (AJCC) Cancer Staging Manual 8th Edition
4. expected to perform distal gastrectomy with D1+/D2 lymph node dissection to obtain R0 resection surgicall results.
5. Performance status of 0 or 1 on Eastern Cooperative Oncology Group (ECOG) scale
6. American Society of Anesthesiology (ASA) class I to III
7. Written informed consent

Exclusion Criteria

1. Women during pregnancy or breast-feeding
2. Severe mental disorder
3. History of previous upper abdominal surgery (except laparoscopic cholecystectomy)
4. History of previous gastric surgery (except Endoscopic Submucosal Dissection/Endoscopic Mucosal Resection (ESD/EMR) for gastric cancer)
5. Gastric multiple primary carcinoma
6. Enlarged or bulky regional lymph node (diameter over 3cm)supported by preoperative imaging
7. History of other malignant disease within the past 5 years
8. History of previous neoadjuvant chemotherapy or radiotherapy
9. History of unstable angina or myocardial infarction within the past 6 months
10. History of cerebrovascular accident within the past 6 months
11. History of continuous systematic administration of corticosteroids within 1 month
12. Requirement of simultaneous surgery for other disease
13. Emergency surgery due to complication (bleeding, obstruction or perforation) caused by gastric cancer
14. Forced expiratory volume in 1 second (FEV1)\<50% of the predicted values
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fujian Medical University

OTHER

Sponsor Role lead

Responsible Party

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Chang-Ming Huang, Prof.

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chang-ming Huang, MD

Role: STUDY_CHAIR

Fujian Medical University Union Hospital

Locations

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Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Site Status

Countries

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China

Central Contacts

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Chang-ming Huang, MD

Role: CONTACT

+86-13805069676

Qi-yue Chen, PhD

Role: CONTACT

+86-15980235636

Facility Contacts

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Changming Huang, M.D., Ph.D.

Role: primary

+86-133-6591-0253

Other Identifiers

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FUGES-022

Identifier Type: -

Identifier Source: org_study_id

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