Role of CTC´s Spread During Pancreaticoduodenectomy in Patients With Pancreatic and Periampullary Tumors
NCT03340844 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 86
Last updated 2024-05-14
Summary
This multicentre, prospective and randomized study aims(1:1) to compare the rate of recurrence, metastasis and survival according to the levels of intraoperative circulating tumor cells (CTCs) during cephalic duodenopancreatectomy in patients with pancreatic and periampullary tumors.
Conditions
- Pancreatic Tumor
- Periampullary Carcinoma Resectable
- Circulating Tumor Cells
- Metastasis
Interventions
- PROCEDURE
-
No Touch (NT)
Tumor resection by No-touch technique: dissection of hepatic hilum, dissection of superior mesenteric vein (SMV) in caudal aspect of pancreas, section of antrum, pancreatic neck section. Section-ligation of veins of duodenopancreatectomy part of SMV and portal. Then Kocher-uncrossing maneuver of the jejunal loop and final section of the retro-portal (back of the portal vein) blade.
- PROCEDURE
-
Superior Mesenteric Artery First (SMA)
Tumor resection by SMA technique: Kocher maneuver extends to the left renal vein (LRV). Dissection above the LRV of the SMA (refer to vessel-loop). Then, SMA will be identified on the caudal side of the pancreas (mesenterial root) and progressive dissection until its origin in the aorta artery (previously referenced with vessel loop).
Sponsors & Collaborators
-
Fundación Pública Andaluza para la gestión de la Investigación en Sevilla
lead OTHER
Principal Investigators
-
Francisco Javier Padillo Ruiz, PhD · Hospitales Universitarios Virgen del Rocío
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-12-15
- Primary Completion
- 2023-07-15
- Completion
- 2023-07-15
Countries
- Spain
Study Locations
More Related Trials
-
According CTC to Compare the Influences of Different Methods to Remove the PDAC
NCT02451384 ·Status: UNKNOWN ·Phase: NA
-
Portal Vein Resection in Pancreatic Neuroendocrine Tumours
NCT04336839 ·Status: UNKNOWN
-
Recurrence After Whipple's (RAW) Study
NCT04596865 ·Status: COMPLETED
-
Pancreatic Surgery in Elderly Patients
NCT04893408 ·Status: COMPLETED
-
The DISSECT Study: Effect of Peri-aDventItial SMA diSsECtion on Margin sTatus During Pancreaticoduodenectomy for Resectable Pancreatic Cancer
NCT04902352 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Surgical Treatment of Pancreatic Metastases From Renal Cell Carcinoma
NCT04245410 ·Status: UNKNOWN
-
Echo-endoscopy Biopsy Impact on the Circulating Tumor Cell Level
NCT04677244 ·Status: RECRUITING ·Phase: NA
-
Metachonous Peritoneal Carcinomatosis Incidence After Curative Surgery for pT4 Colon Cancer Patients
NCT05300789 ·Status: COMPLETED
-
Correlation Between Complications After Pancreaticoduodenectomy and Microbiota
NCT04931069 ·Status: COMPLETED ·Phase: NA
-
Reoperation After Pancreaticoduodenectomy
NCT04387903 ·Status: UNKNOWN
-
Preoperative/Neoadjuvant Therapy and Vascular Debranching Followed by Resection for Locally Advanced Pancreatic Cancer
NCT04136769 ·Status: TERMINATED ·Phase: NA
-
Value of Dynamic Monitoring of Early Recurrence of Hepatocellular Carcinoma After Radical Resection Based on CTCS
NCT06317896 ·Status: NOT_YET_RECRUITING
-
Porto-Venous Radiomics in Pancreatic Cancer
NCT05700110 ·Status: UNKNOWN
-
Liver Embolization Approaches for Tumor Management
NCT05714124 ·Status: RECRUITING
-
Perioperative Residual Adrenal Function After Extended Resection for Retroperitoneal Soft Tissue Sarcomas
NCT04225494 ·Status: COMPLETED
-
Pancreas Resection for Colorectal Metastasis: Retrospective Study
NCT05714475 ·Status: UNKNOWN
-
Diagnostic Laparoscopy in the Preoperative Staging of Pancreatobiliary Cancer
NCT02479984 ·Status: UNKNOWN ·Phase: NA
-
The Role of Pre-operative and Post-operative Circulating Tumor Cells in Gastric Cancer.
NCT05752357 ·Status: UNKNOWN
-
Evaluation of Resection Techniques for Pancreatic Tumors
NCT05128890 ·Status: RECRUITING
-
Intra-peritoneal Environmental Changes Following Surgery
NCT02102074 ·Status: UNKNOWN
-
Survival Among Patients With Pancreatic Cancer Depending on Surgical Resection Rate
NCT04802993 ·Status: COMPLETED
-
Standardization of Surgery on the Pancreatic Cancer
NCT00679913 ·Status: COMPLETED ·Phase: PHASE3
-
Surgery for Pancreatic Cancer With Oligo-Metastasis
NCT04196816 ·Status: COMPLETED
-
Perioperative Cancer Cell Dissemination and Systemic Immune Suppression in Resectable Ductal Pancreatic Adenocarcinoma
NCT00495924 ·Status: COMPLETED
-
Multivisceral Resection in Distal Pancreatectomy
NCT04317352 ·Status: COMPLETED