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Oncologic Impact of Splenectomy-omitting Radical Pancreatectomy in Well-selected Left-sided Pancreatic Cancer


2013-04


2014-04


2014-04


1

Study Overview

Oncologic Impact of Splenectomy-omitting Radical Pancreatectomy in Well-selected Left-sided Pancreatic Cancer

When distal pancreatectomy is carried out for left-sided pancreatic cancer, splenectomy is usually performed not only for margin-negative resection but also for effective clearance of the splenic hilar lymph nodes. However, there was no scientific evidence regarding the justifiability for spleen resection. Considering potential immunological function of the spleen, the investigators hypothesized that distal pancreatectomy without pancreatectomy for left-sided pancreatic cancer is superior than Distal pancreatectomy with pancreatectomy in terms of short-term perioperative outcomes and disease-specific overall survival.

N/A

  • Left-sided Pancreatic Cancer
  • Ductal Adenocarcinoma
  • PROCEDURE: Radical Antegrade Modular Pancreatectomy with Splenectomy
  • PROCEDURE: Radical Antegrade Modular Pancreatectomy without splenectomy
  • 4-2013-0138

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

2013-05-28  

N/A  

2016-11-19  

2013-06-10  

N/A  

2016-11-22  

2013-06-11  

N/A  

2016-11  

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:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: RAMPS

Radical Antegrade Modular Pancreatectomy with Splenectomy

PROCEDURE: Radical Antegrade Modular Pancreatectomy with Splenectomy

ACTIVE_COMPARATOR: RAMP

Radical Antegrade Modular Pancreatectomy without splenectomy

PROCEDURE: Radical Antegrade Modular Pancreatectomy with Splenectomy

PROCEDURE: Radical Antegrade Modular Pancreatectomy without splenectomy

  • distal pancreatectomy without pancreatectomy
Primary Outcome MeasuresMeasure DescriptionTime Frame
Bleeding amount5 hours
Secondary Outcome MeasuresMeasure DescriptionTime Frame
average of pain scoreadmission period(about 5 days)
time interval to adjuvant treatmentadmission period(about 5 days)
postoperative complication(e.g. postoperative pancreatic fistula, delayed gastric emptying, intra-abdominal abscess, postoperative bleeding, wound infection, etc.)admission period(about 5 days)

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:
20 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Ductal adenocarcinoma 2. Age ≥20 and ≤80 3. General performance status: the Karnofsky score> 70% or ECOG 0-1 4. Potentially Curative resection 5. Tumor size < 3cm 6. Pancreatic cancer located on neck or body portion 7. No invasion to spleen or spleen hilum 8. No combined resection except Lt. adrenal gland 9. Distance more than 5cm (≥5cm) between tumor lateral margin and spleen hilum
    Exclusion Criteria:
    1. Unresectable or locally advanced, metastatic case 2. Patients who do not want surgery 3. ASA (American society of anesthesiologists' physical status classification) score: ≥3 4. Patients with drug or alcohol addiction 5. Patients showing low compliance 6. Patients who not want to involve the clinical trial 7. Patients who are unable to read or understand the informed consent, sign a consent form (eg, mental retardation, blindness, illiteracy, foreign, etc.)

Collaborators and Investigators

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

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

  • Kim SH, Kang CM, Satoi S, Sho M, Nakamura Y, Lee WJ. Proposal for splenectomy-omitting radical distal pancreatectomy in well-selected left-sided pancreatic cancer: multicenter survey study. J Hepatobiliary Pancreat Sci. 2013 Mar;20(3):375-81. doi: 10.1007/s00534-012-0549-z.