Comparison of the Laparoscopy-Assisted Distal Gastrectomy(LADG) and Open Distal Gastrectomy (ODG) for Advanced Gastric Cancer (Stage Ib and II).
In both arms,subtotal gastrectomy (dissect more than 2/3 of stomach and total omentectomy)
and D2 lymph node dissection (around common hepatic artery, celiac artery, proximal part of
splenic artery (4d, 4sb), hepatoduodenal ligament, superior mesenteric vein) wiil be
performed basically. As a general rule, Billroth II method will be used for gastric
reconstruction for all cases.Billroth II gastrectomy is to link the gastric pouch to the
jejunum 10~15 cm distal to the ligament of Treitz. An antecolic or retrocolic
gastrojejunostomy connects the jejunum to the stomach in one continuous segment. For
anastomosis, absorbable suture is used. Anastomotic diameter is 5~6 cm length. Drainage tube
is inserted through the right flank area and additional drainage tubes can be inserted as
needed.
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
2 year survival
two year
No
Wook Kim, Professor
Study Chair
Department of Surgery, Holy Family Hospital. The Catholic University of Korea
Korea: Food and Drug Administration
HFHGS01
NCT00741676
August 2008
July 2013
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