胃癌患者经右侧肋缘下入路行肝门系膜清扫的安全性及疗效评价

注册号:

Registration number:

ChiCTR2600127134 

最近更新日期:

Date of Last Refreshed on:

2026-06-25 11:46:44 

注册时间:

Date of Registration:

2026-06-25 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

胃癌患者经右侧肋缘下入路行肝门系膜清扫的安全性及疗效评价

Public title:

Safety and efficacy evaluation of right subcostal approach for mesohepatic dissection in patients with gastric cancer

注册题目简写:

English Acronym:

研究课题的正式科学名称:

胃癌患者经右侧肋缘下入路行肝门系膜清扫的安全性及疗效评价

Scientific title:

Safety and efficacy evaluation of right subcostal approach for mesohepatic dissection in patients with gastric cancer

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

姚寒晖 

研究负责人:

姚寒晖 

Applicant:

Yao Hanhui 

Study leader:

Yao Hanhui 

申请注册联系人电话:

Applicant telephone:

+86 551 65894058

研究负责人电话:

Study leader's
telephone:

+86 551 6589 4058

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

yhanhuiteam@163.com

研究负责人电子邮件:

Study leader's E-mail:

yhanhui@ustc.edu.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

安徽省合肥市庐阳区庐江路17号

研究负责人通讯地址:

安徽省合肥市庐江路17号

Applicant address:

No. 17 Lujiang Road, Luyang District, Hefei City, Anhui Province

Study leader's address:

No. 17 Lujiang Road, Luyang District, Hefei City, Anhui Province

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

中国科学技术大学附属第一医院

Applicant's institution:

The First Affiliated Hospital of University of Science and Technology of China

研究负责人所在单位:

中国科学技术大学附属第一医院医

Affiliation of the Leader:

The First Affiliated Hospital of University of Science and Technology of China

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2025KY伦审第319号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

中国科学技术大学附属第一医院医学研究伦理委员会

Name of the ethic committee:

Medical Research Ethics Committee of The First Affiliated Hospital of University of Science and Technology of China

伦理委员会批准日期:

Date of approved by ethic committee:

2025-07-16 00:00:00

伦理委员会联系人:

胡怡然

Contact Name of the ethic committee:

Hu YiRan

伦理委员会联系地址:

安徽省合肥市庐江路17号

Contact Address of the ethic committee:

No. 17 Lujiang Road, Luyang District, Hefei City, Anhui Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 551 62282931

伦理委员会联系人邮箱:

Contact email of the ethic committee:

isabel0125@126.com

研究实施负责(组长)单位:

中国科学技术大学附属第一医院

Primary sponsor:

The First Affiliated Hospital of University of Science and Technology of China

研究实施负责(组长)单位地址:

安徽省合肥市庐江路17号

Primary sponsor's address:

No. 17 Lujiang Road, Luyang District, Hefei City, Anhui Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

安徽省

市(区县):

Country:

China

Province:

Anhui

City:

单位(医院):

中国科学技术大学附属第一医院

具体地址:

安徽省合肥市庐江路17号

Institution
hospital:

The First Affiliated Hospital of University of Science and Technology of China

Address:

No. 17 Lujiang Road, Luyang District, Hefei City, Anhui Province

经费或物资来源:

中科大附一院 Ⅰ 类博士科研启动资金

Source(s) of funding:

Start-up Fund for Class I Doctoral Research of the First Affiliated Hospital of China University of

研究疾病:

进展期胃癌  

Target disease:

Advanced gastric cancer

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

比较胃癌患者行常规D2根治术第12组淋巴结清扫和经右侧肋缘下入路行肝门系膜清扫的安全性、并发症及预后差异。  

Objectives of Study:

To compare the safety, complications and prognosis of conventional D2 radical resection of lymph node dissection and right subcostal approach for hilar mesangial dissection in patients with gastric cancer.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 术前存在肝功能异常者,包括转氨酶及胆红素异常; 2. 存在腹腔镜手术禁忌者,如严重心肺功能不全者; 3. 既往多次行腹盆腔手术或腹腔广泛粘连者; 4. 合并幽门梗阻、胃穿孔、胃出血等需急诊手术的患者; 5. 术前影像学提示有腹膜癌结节种植及转移者; 6. ASA 分级 >= IV 级和/或 ECOG 体力状态评分 >= 2 分; 7. 具有严重的心肺功能、凝血功能障碍或合并严重的基础疾病不能耐受手术者; 8. 具有严重的精神疾病病史; 9. 怀孕或哺乳期妇女; 10. 术前有感染未控制者; 11. 有研究者认为的其他临床、实验室检查检验异常不宜参加该项试验; 12. 患者及家属拒绝签署知情同意书。

Exclusion criteria:

1. Patients with abnormal liver function before operation, including abnormal transaminase and bilirubin; 2. Patients with contraindications to laparoscopic surgery, such as severe cardiopulmonary dysfunction; 3. Patients who have undergone abdominopelvic surgery or extensive abdominal adhesions several times in the past; 4. Patients with pyloric obstruction, gastric perforation, gastric bleeding and other emergency surgery; 5. Preoperative imaging suggests peritoneal cancer nodular implantation and metastasis; 6. ASA grade >= IV and/or ECOG performance status score >= 2; 7. Patients with severe cardiopulmonary function, coagulation dysfunction or combined with severe underlying diseases cannot tolerate surgery; 8. Having a history of severe mental illness; 9. Pregnant or lactating women; 10. Patients with uncontrolled infection before surgery; 11. Other clinical and laboratory abnormalities considered by the investigator should not participate in the trial; 12. Patients and their families refused to sign informed consent.

研究实施时间:

Study execute time:

From 2025-09-01 00:00:00 To 2031-09-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-25 00:00:00 To 2026-09-01 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

150

Group:

Control group

Sample size:

干预措施:

进展期胃癌患者行常规D2根治术,并清扫第12组淋巴结(D2-12组)

干预措施代码:

Intervention:

Patients with advanced gastric cancer underwent conventional D2 radical gastrectomy and lymph node dissection in group 12 (D2-12 group).

Intervention code:

组别:

实验组

样本量:

150

Group:

Experimental group

Sample size:

干预措施:

经右侧肋缘下入路行肝门系膜清扫(RSA-HHMD组)

干预措施代码:

Intervention:

Mesohepatic dissection via right subcostal approach (RSA-HHMD group)

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

安徽省 

市(区县):

 

Country:

China

Province:

Anhui

City:

单位(医院):

中国科学技术大学附属第一医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of University of Science and Technology of China

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术后病理第12组淋巴结收获数量及阳性率

指标类型:

主要指标

Outcome:

Number and positive rate of lymph node harvest in group 12 of postoperative pathology

Type:

Primary indicator

测量时间点:

术后7天

测量方法:

病理学报告

Measure time point of outcome:

7 days after surgery

Measure method:

Pathology Report

指标中文名:

5年生存率、生存时间和无病复发时间

指标类型:

主要指标

Outcome:

Five-year survival, survival, and disease-free recurrence

Type:

Primary indicator

测量时间点:

术后5年

测量方法:

电话及门诊随访

Measure time point of outcome:

5 years after surgery

Measure method:

Telephone and Outpatient Follow-up

指标中文名:

短期并发症(术中血管、胆管损伤;胆红素及转氨酶水平;腹腔镜中转开放率;二次手术率等)

指标类型:

主要指标

Outcome:

Short-term complications (intraoperative vascular and bile duct injury; bilirubin and transaminase levels; laparoscopic conversion rate; second operation rate, etc.)

Type:

Primary indicator

测量时间点:

术中及术后7天内

测量方法:

临床观察

Measure time point of outcome:

Intraoperative and within 7 days

Measure method:

Clinical observation

指标中文名:

术后远期肝门部复发率

指标类型:

主要指标

Outcome:

Long-term postoperative hilar recurrence rate

Type:

Primary indicator

测量时间点:

术后5年

测量方法:

影像学报告

Measure time point of outcome:

5 years after surgery

Measure method:

Imaging Report

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

淋巴结

组织:

Sample Name:

lymph gland

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 80 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

利用随机数表进行随机分配入 D2-No.12 组或 RSA-HHMD 组。

Randomization Procedure (please state who generates the random number sequence and by what method):

Use a random number table to randomly assign to either the D2-No.12 group or the RSA-HHMD group.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

开放标签,对评估者隐藏分组

Blinding:

Open-label study with blinded-evaluators

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

None

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

CRF+EDC

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

CRF+EDC

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2026-06-25 11:46:35