To compare the incidence of internal hernia, overall survival and short-term surgical safety of routine closure of the surgically created mesenteric defects versus non-closure for patients with adenocarcinoma of the gastric or esophagogastric junction who underwent radical gastrectomy (D1+/D2 lymph node dissection).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
1,968
The surgically created mesenteric defects will be closed after radical gastrectomy with D1+/D2 lymph node dissection.
The surgically created mesenteric defects will not be closed after radical gastrectomy with D1+/D2 lymph node dissection.
The First Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, China
The incidence of internal hernia within 3 years after surgery
Internal hernia were identified by surgical exploration or abdominal computed tomography (CT) from surgical and medical records during the postoperative 3 years of follow-up.
Time frame: 3 years
The incidence of intraoperative complications
The intraoperative complications occur from the beginning of skin cutting to the completion of sewn skin, including surgical complications, anesthesia related complications and pneumoperitoneum related complications.
Time frame: up to 2 hours after surgery
Incidence of postoperative intestinal obstruction
Refers to the incidence of postoperative intestinal obstruction observed during follow-up period.
Time frame: 3 years
Overall survival at 3 years after surgery
The overall survival of patients with gastric or esophagogastric junction adenocarcinoma are evaluated at 3 years after radical gastrectomy.
Time frame: 3 years
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