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Clinical Outcomes of Preservation Versus Resection of Portal/Superior Mesenteric Vein During Pancreaticoduodenectomy in Pancreatic Cancer Patients Who Respond to Neoadjuvant Treatment


2012-01-01


2022-01-01


2024-03-01


264

Study Overview

Clinical Outcomes of Preservation Versus Resection of Portal/Superior Mesenteric Vein During Pancreaticoduodenectomy in Pancreatic Cancer Patients Who Respond to Neoadjuvant Treatment

1. There is a lack of evidence on the need to perform portal/superior mesenteric vein (PV/SMV) resection routinely in pancreatic ductal adenocarcinoma (PDAC) patients with venous involvement who responded to neoadjuvant treatment (NAT). 2. There is no significant differences in R0 rate, 5-year overall survival and recurrence-free survival between the PV/SMV preservation (PVP) group and PV/SMV resection (PVR) group. 3. PVP group showed significantly better 5-year PV/SMV stenosis free survival than the PVR group. 4. We propose that if dissection is possible and there is a high likelihood of achieving R0 resection after NAT, routine PVR may be unnecessary in PDAC patients with venous involvement.

N/A

  • Pancreatic Head Cancer Patients Who Underwent Surgery After Neoadjuvant Treatment
  • PROCEDURE: portal/superior vein resection
  • 2402-147-1516

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

2024-04-08  

N/A  

2024-04-15  

2024-04-15  

N/A  

2024-04-18  

2024-04-18  

N/A  

2024-04  

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:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
: Preservation of portal/superior mesenteric vein

PROCEDURE: portal/superior vein resection

  • portal/superior vein resection
: Resection of portal/superior mesenteric vein

PROCEDURE: portal/superior vein resection

  • portal/superior vein resection
Primary Outcome MeasuresMeasure DescriptionTime Frame
5-year overall survivalfrom diagnosis to any cause of deathassessed up to 60months
5-year portal/superior mesenteric vein stenosis free survivalfrom surgery to stenosisassessed up to 60months
Secondary Outcome MeasuresMeasure DescriptionTime Frame

Contacts and Locations

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

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:

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Pancreatic head cancer patients who underwent surgery after neoadjuvant treatment between January 2012 and December 2022 at Seoul National University Hospital

  • Exclusion Criteria:

  • Metastatic unresectable and locally advanced pancreatic cancer
  • Resectable pancreatic cancer without portal/superior mesenteric vein invasion
  • Cancer aggravation after neoadjuvant treatment
  • Portal/superior mesenteric vein encasing and narrowing after neoadjuvant treatment
  • Patients who underwent palliative surgery
  • Non-pancreatic ductal adenocarcinoma patients
  • Patients who death within 30 days of surgery
  • Loss of follow-up patients
  • Patients who underwent resection for suspected main artery and adjacent organ invasion

Collaborators and Investigators

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

Publications

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General Publications

No publications available