ERAS (Early Recovery After Surgery) Protocol After Laparoscopic Total Gastrectomy and Proximal Gastrectomy

Seoul National University

Status: Unknown

Conditions: Gastric Cancer

Treatments: Procedure: ERAS perioperative cares; Procedure: Conventional perioperative cares

Study type: Interventional

Funder types: Other

Identifiers

NCT03079596

B-1608-357-006

Details and patient eligibility

About

Enhanced Recovery After Surgery (ERAS) programs have been introduced with purposes of reducing the surgical stress response and obtaining optimal recovery after surgery.

Full description

There is strong evidence of the usefulness of the ERAS programs in patients undergoing colorectal surgery in terms of significantly reduced postoperative complications and shorter length of hospital stay, compared to the patients of conventional treatment.

However, few studies exist about the implication of ERAS programs in the laparoscopic gastrectomy.

The aim of this study was to compare the recovery rate, morbidity, and quality of life in the patients undergoing laparoscopic total gastrectomy and proximal gastrectomy for gastric cancer, receiving either ERAS protocol or conventional postoperative cares.

Enrollment: 100 estimated patients

Sex: All

Ages: 20 to 68 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Elective surgery
• American Society of Anesthesiologists (ASA) scores < 3
• Gastric cancer, adenocarcinoma, possible to perform laparoscopic total gastrectomy and proximal gastrectomy
• Informed consent
• No other treatment (Radiation, Chemotherapy or Immunotherapy) on this gastric cancer or other type of cancer.
• No systemic inflammatory disease

Exclusion criteria

• conversion to open

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

100 participants in 2 patient groups

ERAS perioperative cares

Active Comparator group

Description:

Patients planned to undergoing laparoscopic total gastrectomy, following the ERAS protocols

Treatment:

Procedure: ERAS perioperative cares

Conventional perioperative cares

Active Comparator group

Description:

Patents will be managed by our hospital's critical pathways

Treatment:

Procedure: Conventional perioperative cares