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Staging laparoscopy for locally advanced gastric cancer in Chinese patients: a multicenter prospective registry study

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机构: [1]Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Gastrointestinal Surgery, Peking University Cancer Hospital and Institute, Beijing 100142, China. [2]Cancer Hospital and Institute, Chinese Academy of Medical Sciences, Beijing 100021, China. [3]Department of General Surgery, Capital Medical University Affiliated Beijing Chao-Yang Hospital, Beijing 100020, China. [4]Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. [5]Department of General Surgery, Beijing Hospital of Ministry of Health, Beijing 100730, China. [6]Department of General Surgery, Peking University Third Hospital, Beijing 100191, China. [7]Department of General Surgery, Peking University First Hospital, Beijing 100034, China. [8]Department of Gastrointestinal Surgery, Peking University People’s Hospital, Beijing 100044, China. [9]Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Beijing 100730, China. [10]Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China. [11]Department of General Surgery, The General Hospital of PLA, Beijing 100853, China. [12]Department of General Surgery, The First Affiliated Hospital, General Hospital of PLA, Beijing 100048, China.
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关键词: Gastric cancer Laparoscopy Peritoneal metastasis Cytology

摘要:
Background: Staging laparoscopy(SL) is a recommended technique for the staging of Gastric Cancer(GC) and provides the indication for a radical surgery. Considering the medical practice in China, the standardized and regular usage of SL is yet to be spread. However, existing guidelines vary and make an ambiguity of indication for SL. Besides, the specific indication for Chinese patients remains a niche. This study aims to the essential, missing information of Chinese patients and tries to normalize the indication of LS in medical practice in China. Methods: The study is a prospective, multicenter cohort study being conducted in China with a total of 450 patients, all diagnosed with locally advanced gastric cancer (cT2-4 N0-3 M0, no evidence of intra-abdominal dissemination) through Computed Tomography(CT) and/or Endoscopic Ultrasonography(EUS). Peritoneal lavage is regularly performed during the SL. Multivariate Cox regression model and receiver-operator characteristic(ROC) analysis will be used to analyze the significant risk factors of intra-abdominal metastasis(including peritoneal dissemination and a positive cytological result). Discussion: This confirmatory study will provide us with the specific positive rate of intraabdominal metastasis of GC in China, compared with empirical evidence of 20%. We expect this trial will contribute to our discovery of the specific risk factors of intra-abdominal metastasis of Chinese patients and to the stimulating and performing of minimally invasive surgical procedures.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学
最新[2023]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
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出版当年[2016]版:
Q2 ONCOLOGY
最新[2023]版:
Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Gastrointestinal Surgery, Peking University Cancer Hospital and Institute, Beijing 100142, China.
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通讯机构: [1]Key laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Gastrointestinal Surgery, Peking University Cancer Hospital and Institute, Beijing 100142, China.
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