Nutritional and Metabolic Diseases

Gland and Hormone Related Diseases

All Conditions

Neoplasms

Digestive System Diseases

Rare Diseases

Diabetes Mellitus

Diabetes Mellitus, Type 2

Stomach Neoplasms

Metabolic Diseases

Glucose Metabolism Disorders

Endocrine System Diseases

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Stomach Diseases

Stomach Cancer

After stomach resection, the remnant stomach is connected to the jejunum.

After stomach resection, the remnant stomach is connected to the distal jejunum while duodenum and the proximal jejunum is reconnected to jejunum.

Billroth II or Roux en Y reconstruction will be performed after gastric resection in stomach patients co-morbid with type 2 diabetes

Stomach-small intestine reconstruction

Yu Wang, M.D

Zhongdong Zhou, M.D

ZhongDong Zhou, M.D

Gastric bypass improves glycemic levels in type 2 diabetes. However, the efficacy may be varied by different gastric-small intestine reconstruction used in the procedure. There are reports that Roux en Y reconstruction may give a better result. The purpose of this study is to compare Roux en Y and Billroth II reconstruction in patients with gastric cancer comorbid with type 2 diabetes.

Type 2 diabetes may cause severe complications such as nephropathy and retinopathy. Additionally, it is associated with increased risk for cardiovascular events and diseases. Surgical intervention with gastric bypass has been shown to attenuate glycemic levels in obese patient comorbid with type 2 diabetes. However, since gastric bypass is not a standard procedure, surgical protocol including stomach and small intestine reconstruction may be varied. The investigators and others have found that stomach and small intestine reconstruction may affect the efficacy of diabetic treatment. In this study, the investigators will compare the efficacy of Billroth II and Roux en Y reconstruction on glycemic control in stomach cancer patients with type 2 diabetes. Both Billroth II and Roux en Y are used in stomach-small intestine reconstruction after subtotal gastrectomy. No differences in postoperative outcomes and quality of life have been reported in Billroth II and Roux en Y reconstruction.

Roux-en-Y Versus Billroth II Reconstruction After Subtotal Gastrectomy in Gastric Cancer Comorbid With Type II Diabetes

A Prospective Randomised Study Comparing Billroth II With Roux-en-Y Reconstruction After Radical Distal Subtotal Gastrectomy for Gastric Cancer Comorbid With Type 2 Diabetes

1. Fasting and postprandial glycemic levels, HbA1C
2. Number of anti-diabetic drugs
3. Dosage of anti-diabetic drugs

1. Body mass index
2. Anthropometric analysis
3. Plasma concentrations of albumin, pre-albumin, transferrin,and CRP

feng Zheng

Symptoms and General Pathology

Infections

Ulcer

Gallstones

Cholelithiasis

Cholecystolithiasis

Appendicitis

Stomach Ulcer

Intestinal Diseases

Communicable Diseases

Intraabdominal Infections

Gastroenteritis

Cecal Diseases

Peptic Ulcer

Duodenal Diseases

Biliary Tract Diseases

Gallbladder Diseases

Calculi

Pathological Conditions, Anatomical

20-70 patients undergo Micro Hand S robotic surgeries

Micro Hand S robotic surgery

20-70 patients undergo laparoscopic surgeries

laparoscopic surgery

20-70 patients undergo da Vinci robotic surgeries

da Vinci robotic surgery

shaihong zhu, MD

Central South University in collaboration with Tianjin University developed the first domestically produced Chinese minimally invasive surgical (MIS) robot system which named "Micro Hand S" in 2013. Recently, as the domestic surgical robot research project's main section, this new MIS robot had been authorized to enter the clinical trial stage by the Ethics Committee of the Third Xiangya Hospital at Central South University.

One surgeon perform these surgical trials using the robot "Micro Hand S". All of the patients were followed for 12 months, and pre- and postoperative changes in blood route test and hepatorenal function examination, surgery duration, hospital stay, total robotic setup time, total robotic operation time, intraoperative blood loss, total postoperative drainage amount, duration of bearing drainage tubes were recorded. In addition, the pre- and postoperative changes in the pathological and functional outcomes were measured.

Domestic Surgical Robot Clinical Study

Safety and Feasible Study of Domestic Surgical Robot That Had Been Authorized to Enter the Clinical Trial Stage

surgical procedure/operative time/console time/blood loss/conversion

Time to first flatus/intake/hospital stay

resection margin/harvested lymph node/mesorectal grade

type of complication/grade of complication

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Roux-en-Y Versus Billroth II Reconstruction After Subtotal Gastrectomy in Gastric Cancer Comorbid With Type II Diabetes	NCT01528059	Gastric Cancer Type 2 Diabetes	Stomach-small i...	30 Years - 70 Years	Xiamen University
Domestic Surgical Robot Clinical Study	NCT02752698	Gastric Ulcer W... Colon Cancer Cholecystolithi... Appendicitis Sleeve Gastrect... Gastric Bypass Gastric Cancer Rectal Cancer	Micro Hand S ro... laparoscopic su... da Vinci roboti...	18 Years - 80 Years	The Third Xiangya Hospital of Central South University

Spots Global Cancer Trial Database for gastric bypass