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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Stapler Reinforcement Patch
DeviceParticipants in this group will receive gastrojejunostomy with the use of stapler reinforcement patches.
Standard Stapler
DeviceParticipants in this group will receive gastrojejunostomy with the use of Standard Stapler
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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.
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.
Mortality Rate
The rate of mortality within 30 days post-surgery.
Readmission Rate
Readmission Rate
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