Stapler Reinforcement Patches Compared to Standard Staplers in Gastrojejunostomy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-85
SponsorNanchong Central Hospital

About this trial

This is a multi-center, prospective, randomized controlled study aimed at compareing the impact of stapler reinforcement patches versus standard staplers on postoperative complications in gastrojejunostomy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age between 18 and 85 years.

Pathologically diagnosed with gastric cancer and suitable for distal gastrectomy or subtotal gastrectomy.

ECOG performance status of 0 or 1.

ASA (American Society of Anesthesiologists) classification of I-III.

Disqualifiers

Evidence of potential distant metastasis found preoperatively.

History of other malignancies diagnosed within the past 5 years, or any malignancy treated with chemotherapy or radiotherapy.

Significant contraindications for surgery (e.g., severe liver or kidney dysfunction).

Participation in any other clinical trial within the last 6 months.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Stapler Reinforcement Patch

    Device

    Participants in this group will receive gastrojejunostomy with the use of stapler reinforcement patches.

  • Standard Stapler

    Device

    Participants in this group will receive gastrojejunostomy with the use of Standard Stapler

Treatment groups

382 Participants
are divided into 2 treatment groups
Group A: Stapler Reinforcement Patch GroupExperimental treatment 1 intervention
Group B: Standard Stapler GroupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Rate of Anastomotic Leakage

The incidence of anastomotic leakage within 30 days post-surgery. Anastomotic leakage is defined as the presence of fluid containing enteric content in the abdominal cavity or the appearance of leakage confirmed by imaging or endoscopy.

Time frame
30 days post-surgery

Secondary outcomes

1

Rate of Anastomotic Stricture

The incidence of anastomotic stricture within 3 months post-surgery. Anastomotic stricture is defined as difficulty in food passage or narrowing confirmed by imaging or endoscopy.

Time frame
3 months post-surgery
2

Postoperative Bleeding Rate

The incidence of postoperative bleeding within 30 days post-surgery. Postoperative bleeding is defined as the occurrence of bleeding requiring intervention or causing significant hemoglobin drop.

Time frame
30 days post-surgery
3

Mortality Rate

The rate of mortality within 30 days post-surgery.

Time frame
30 days post-surgery
4

Readmission Rate

Readmission Rate

Time frame
3 months post-surgery

Other outcomes

Sponsors and contacts

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Nanchong Central Hospital

Lead sponsor

Guang'an Central Hospital

Collaborator

Pengan County People's Hospital

Collaborator

Yilong County people's Hospital

Collaborator

Nanbu Hospital of County Chinese Medicine

Collaborator

Langzhong People's Hospital

Collaborator