Last updated on September 2008

Gastrectomy Plus Prophylactic Cholecystectomy in Gastric Cancer Surgery

Brief description of study

The patients will be divided into two groups: in the first group the patient will be submitted to prophylactic cholecystectomy during standard surgery for curable gastric cancer (subtotal or total gastrectomy), while in the second group will be submitted to standard gastric surgery only.

Detailed Study Description

The incidence of gallstones and gallbladder sludge is known to be higher in patients after gastrectomy than in general population. This higher incidence is probably related to surgical dissection of the vagus nerve branches and the anatomical gastrointestinal reconstruction. Therefore, some surgeons perform routine concomitant cholecystectomy during standard surgery for gastric malignancies. However, not all the patients who are diagnosed to have cholelithiasis after gastric cancer surgery will develop symptoms or require additional surgical treatments and a standard laparoscopic cholecystectomy is feasible even in those patients who underwent previous gastric surgery.

Clinical Study Identifier: NCT00757640

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Lapo Bencini, MD

Azienda Ospedaliero-Universitaria Careggi - Chirurgia Generale ed Oncologica
Florence, Italy
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