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Comparing Laparoscopic and Open Surgery for Pancreatic Carcinoma


2019-03-01


2027-03-01


2027-05-01


200

Study Overview

Comparing Laparoscopic and Open Surgery for Pancreatic Carcinoma

Background: Pancreatic cancer (PC) is one of the most aggressive malignant neoplasms with poor outcomes. Pancreatoduodenectomy (PD) is the only curative treatment for PC. Minimally invasive surgery has been progressively developed, first with the advent of hybrid-laparoscopy and recently with the total laparoscopy surgeries, but a number of issues are currently being debated, including the superiority between total laparoscopic pancreaticoduodenectomy (TLPD)and the open pancreaticoduodenectomy (OPD). Studies comparing these two surgery techniques are merging and randomized controlled trials (RCT) are lacking but clearly required. Methods/design: TJDBPS07 is a multicenter prospective, randomized controlled, trial comparing TLPD and OPD in pancreatic cancers. A total of 200 patients with pancreatic cancer underwent PD will be randomly allocated to the TLPD group or OPD group with an enhanced recovery after surgery (ERAS) pattern. The trial's aim is to exploring the overall survival (OS), disease free survival (DFS) and quality of life. The duration of the entire trial is seven years including prearrangement, a presumably five-year follow-up and analyses. Discussion: Despite the fact there are several RCTs comparing minimally invasive pancreaticoduodenectomy (MIPD) and Open approach or LPD versus OPD. This trial will be the first comparing TLPD and OPD in a large multicenter setting. TJDBPS01 trial is hypothesized to assess whether TLPD has superiority over OPD in recovery and other aspects.

N/A

  • Pancreatic Carcinoma
  • Laparoscopic
  • Pancreaticoduodenectomy
  • PROCEDURE: TLPD Surgery
  • PROCEDURE: OPD Surgery
  • TJDBPS07

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2018-12-20  

N/A  

2022-02-27  

2018-12-20  

N/A  

2022-03-02  

2018-12-24  

N/A  

2022-02  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
Single


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: TLPD

Total laparoscopic pancreaticoduodenectomy for pancreatic cancer

PROCEDURE: TLPD Surgery

  • TLPD
EXPERIMENTAL: OPD

Open pancreaticoduodenectomy for pancreatic cancer

PROCEDURE: OPD Surgery

  • OPD
Primary Outcome MeasuresMeasure DescriptionTime Frame
5-year overall survival5-year overall survival5 year
Secondary Outcome MeasuresMeasure DescriptionTime Frame
overall survivalthe interval between the day of surgery and the day of death for various reasons5 years
disease-free survivalthe interval between the day of surgery and the day of tumour recurrence5 years
90-day mortalitythe percentage of patients who died within 90 days postoperatively90 days
complication ratecomplications related to PD90 days
comprehensive complication indexcalculated as the sum of all complications that are weighted for their severity90 days
length of staythe number of nights spent in the hospital from the end of the surgical procedure until discharge or death90 days
intraoperative indicatorsdescription of the patients' intraoperative condition relating to the safety of patients90 days

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Renyi Qin

Phone Number: +8602783665314

Email: 172356995@qq.com

Study Contact Backup

Name: Hag Zhang

Phone Number: +8602783665314

Email: 172356995@qq.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Age between 18 years and 75 years. 2. Histologically confirmed PDAC or clinically diagnosed PDAC by an MDT without histopathologic evidence. 3. Patients feasible to undergo both LPD and OPD according to MDT evaluations. 4. Patients understanding and willing to comply with this trial. 5. Provision of written informed consent before patient registration. 6. Patients meeting the curative treatment intent in accordance with clinical guidelines.
    Exclusion Criteria:
    1. Patients with distant metastases, including peritoneal, liver, distant lymph node metastases, and involvement of other organs. 2. Patients requiring left, central or total pancreatectomy or other palliative surgery. 3. Preoperative American Society of Anaesthesiologists (ASA) score ≥ 4. 4. History of other malignant disease. 5. Pregnant or breast-feeding women. 6. Patients with serious mental disorders. 7. Patients treated with neoadjuvant therapy. 8. Patients with vascular invasion and requiring vascular resection as evaluated by the MDT team according to abdominal imaging data. 9. Body mass index > 35 kg/m2. 10. Patients participating in any other clinical trials within 3 months.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Shandong Provincial Hospital
  • The Second Hospital of Hebei Medical University
  • The Affiliated Hospital of Xuzhou Medical University
  • Xinqiao Hospital of Chongqing
  • Hunan Provincial People's Hospital
  • The First Hospital of Jilin University
  • Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
  • The Third Affiliated Hospital of Soochow University
  • Guangdong Provincial Hospital of Traditional Chinese Medicine
  • Affiliated Hospital of North Sichuan Medical College
  • First Affiliated Hospital of Chongqing Medical University
  • Peking Union Medical College Hospital
  • Henan Provincial People's Hospital
  • Sir Run Run Shaw Hospital
  • Fujian Medical University Union Hospital
  • Fudan University

  • PRINCIPAL_INVESTIGATOR: Renyi Qin, Tongji Hospital

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

  • Wang M, Pan S, Qin T, Xu X, Huang X, Liu J, Chen X, Zhao W, Li J, Liu C, Li D, Liu J, Liu Y, Zhou B, Zhu F, Ji S, Cheng H, Li Z, Li J, Tang Y, Peng X, Yu G, Chen W, Ma H, Xiong Y, Meng L, Lu P, Zhang Z, Yu X, Zhang H, Qin R. Short-Term Outcomes Following Laparoscopic vs Open Pancreaticoduodenectomy in Patients With Pancreatic Ductal Adenocarcinoma: A Randomized Clinical Trial. JAMA Surg. 2023 Dec 1;158(12):1245-1253. doi: 10.1001/jamasurg.2023.5210.
  • Pan S, Qin T, Yin T, Yu X, Li J, Liu J, Zhao W, Chen X, Li D, Liu J, Li J, Liu Y, Zhu F, Wang M, Zhang H, Qin R; Minimally Invasive Treatment Group in the Pancreatic Disease Branch of China's International Exchange and Promotion Association for Medicine and Healthcare (MITG-P-CPAM). Laparoscopic versus open pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: study protocol for a multicentre randomised controlled trial. BMJ Open. 2022 Apr 4;12(4):e057128. doi: 10.1136/bmjopen-2021-057128.