Condition: Gastric Cancer · Gastric Adenocarcinoma · Lymphadenectomy · Sponsor: Azienda Ospedaliero-Universitaria di Parma
Even after the wide introduction of chemo/radiotherapy in the treatment algorithm, adequate surgery remains the cornerstone of gastric cancer treatment with curative intent. A proper D2 lymphadenectomy is associated with improved cancer specific survival as confirmed in Western countries by fifteen-year follow-up results of Dutch and Italian randomized trials. In clinical practice, the total number of harvested lymph nodes is often considered as a surrogate marker for adequate D2 lymphadenectomy; nonetheless, the number of retrieved nodes does not necessarily correlate with residual nodes, which intuitively could represent a more reliable marker of surgical adequacy. The availability of an efficient tool for evaluating the absence of residual nodes in the operative field at the end of node dissection could better correlate with survival outcomes. The goal of this multicentric observational prospective study is to test the reliability of a new score (PhotoNodes Score) created to rate the quality of the lymphadenectomy performed during minimally invasive gastrectomy for gastric cancer. The score is assigned by assessing the absence of residual nodes at the end of node dissection on a set of laparoscopic/robotic high quality intraoperative images collected from each patient undergoing a minimally invasive gastrectomy with D2 node dissection. Ideally, this tool could be a new indicator of the quality of D2 dissection and could assume a prognostic role in the treatment of gastr…
This description comes directly from the study's public registry record.
Federico Marchesi, Prof · 00390521906343 · federico.marchesi@unipr.it
Giorgio Dalmonte, MD, PhD · gdalmonte@ao.pr.it
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| Ospedale di Cremona - UOC Chirurgia Generale | Cremona, CR, Italy | Recruiting |
| Azienda Ospedaliera Universitaria Careggi - Chirurgia dell'Apparato Digerente | Florence, FI, Italy | Recruiting |
| Ospedale San Raffaele - Chirurgia Gastroenterologica | Milan, MI, Italy | Not Yet Recruiting |
| Istituto Europeo di Oncologia | Milan, MI, Italy | Recruiting |
| ASST Grande Ospedale Metropolitano Niguarda | Milan, MI, Italy | Recruiting |
| Policlinico Abano | Abano Terme, PD, Italy | Recruiting |
| Azienda Ospedaliera Universitaria Integrata Borgo Trento - Chirurgia Generale ed Esofago Stomaco | Verona, VR, Italy | Recruiting |
| Azienda Ospedaliero-Universitaria di Parma | Parma, Italy | Recruiting |
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Source record: clinicaltrials.gov/study/NCT06466902