A Single-center, Randomized, Controlled Trial to Evaluate Total Versus Partial Omentectomy for Advanced Gastric Cancer in Radical Gastrectomy
The main purpose of this study is to evaluate the impact of omentectomy for advanced gastric cancer on patient survival.
• Had been treated with Radical resection (D2, R0) of gastric cancer (Lymph node≥16);
• Physical condition and organ function allows to tolerable abdominal surgery;
• Willing and able to comply with the program during the study period;
• Written informed consent provided;
• ≥ 18 and ≤ 70 years of age; preoperative gastric cancer patients with pathologically confirmed;
• With more than a 6-month life expectancy;
• No other serious concomitant diseases; Sufficient organ functions;
• No previous history of chemotherapy or radiotherapy;
• All patients accept 8 cycles XELOX chemotherapy regimen;
⁃ Clinical stage: T2-4aN0-+M0;
⁃ Macroscopic types :Borrmann I-III;
⁃ Not greater curvature tumor;
⁃ No previous surgery for any abdominal disease, except an appendectomy for appendicitis, a laparoscopic cholecystectomy for gallbladder stones; No previous history of peritonitis, pancreatitis;
⁃ Karnofsky performance status (KPS)\>60; Eastern Cooperative Oncology Group Performance Status (ECOG): 0-1.