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Spots Global Cancer Trial Database for Enhanced Recovery After Surgery (ERAS) on Laparoscopy-assisted Distal Gastrectomy

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Trial Identification

Brief Title: Enhanced Recovery After Surgery (ERAS) on Laparoscopy-assisted Distal Gastrectomy

Official Title: Effect of Enhanced Recovery After Surgery (ERAS) on Laparoscopy-assisted Distal Subtotal Gastrectomy: A Single Arm Trial

Study ID: NCT03016026

Interventions

ERAS

Study Description

Brief Summary: This study evaluates the safety and effectiveness of enhanced recovery after surgery(ERAS) on laparoscopic distal gastrectomy for gastric cancer.All of participants received an ERAS program.

Detailed Description: Preoperative education about ERAS program is administered in the ward after admission by a specific team. Breathing training and atomizing during the time of preoperative preparation is performed during hospitalization (5-7 days). Patients are allowed to eat a normal diet and intake of 1000 ml 10% carbohydrate drink 10 hours before surgery and oral 500ml 10% carbohydrate drink 2 hours before the induction of anesthesia. Mechanical bowel preparation is not recommended as routine procedure. The intravenous fluid therapy is restricted. Urinary catheters are routinely placed after anesthesia. In principle, drainage and nasogastric tube are not placed (except the concerns of surgical safety). Surgical site infiltration is implemented.All patients undergo laparoscopic distal gastrectomy. Urinary catheters are routinely removed within 24 hours after operation. An optimal management of acute postoperative pain is multimodal analgesia consists of surgical site infiltration, a nonsteroidal anti-inflammatory drug for postoperative three days (POD) and epidural analgesia. Adjunctive analgesia with acetaminophen is used after the resumption of oral intake until adequate pain relief. Patients were encouraged to move from POD 1. The patients are encouraged to a full fluid diet on POD 2. Adhere to the premise of eating little and often daily increase, then to semi-fluids to soft diet. A normal diet is often started on POD 4. Abdominal drains are routinely removed within 72 hours after operation.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China

Contact Details

Name: Guoxin Li, MD.,Ph.D

Affiliation: Southern Medical University, Guangzhou,China

Role: PRINCIPAL_INVESTIGATOR

Name: Kexuan Liu, MD.,Ph.D

Affiliation: Southern Medical University, Guangzhou,China

Role: PRINCIPAL_INVESTIGATOR

Name: Hao Liu, MD.,Ph.D

Affiliation: Southern Medical University, Guangzhou,China

Role: STUDY_DIRECTOR

Name: Li Zhen, MD.,Ph.D

Affiliation: Southern Medical University, Guangzhou,China

Role: STUDY_DIRECTOR

Name: Xiaomin Hou, MD.,Ph.D

Affiliation: Southern Medical University, Guangzhou,China

Role: STUDY_DIRECTOR

Name: Jiang Yu, MD.,Ph.D

Affiliation: Southern Medical University, Guangzhou,China

Role: STUDY_DIRECTOR

Name: Yu Zhu, MD.

Affiliation: MD.,Ph.D

Role: STUDY_DIRECTOR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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