Prospective, Observational, Multicenter Study on Minimally Invasive Gastrectomy for Gastric Cancer: Robotic, Laparoscopic and Open Surgery Compared on Operative and ... View Homepage


Ontology type: schema:MedicalStudy     


Clinical Trial Info

YEARS

2016-2024

ABSTRACT

The overall purpose is to develop and maintain a multi-institutional database comprising of information regarding surgical, clinical and oncological features of patients that will be treated for gastric cancer with robotic, laparoscopic or open approaches and subsequent follow-up.The main objective is to compare the three surgical arms on surgical and clinical outcomes, as well as on the oncological follow-up. Detailed Description A review of the scientific literature, which was recently published by the IMIGASTRIC study group, aimed to perform a more complete analysis of the current situation regarding performing minimally invasive surgery for gastric cancer. Significant limitations were found in the analyzed studies, including:Small samples of patients, mostly low-quality comparative studiesSelection bias in the comparison groups (e.g. stage, extent of lymphadenectomy)Absence of subgroup analysis in significant research fieldsLack of information on the surgical techniques adoptedA large prospective multicenter registry could thus be the optimal way to clarify the role of minimally invasive surgery for gastric cancer and permit the evaluation of its short and long-term effects. A working basis for analyzing outcomes of interest and obtaining directions for guidelines and future study developments can also be created. The following would be the main advantages of a large prospective multicenter registry:Achieving a large sample of patientsCollecting multiple variables, allowing for the making of a comprehensive statistical reportStandardizing the methodology to be adopted, thus increasing accuracyBringing together the experiences of both East and West to discover shared points A prospective registry can become a powerful tool that can guide research in this field to new developments and pave the way for other investigational opportunities. More... »

URL

https://clinicaltrials.gov/show/NCT02751086

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