RCT Study on Safety of LPD and OPD in the Treatment of Periampullary Tumors
NCT04037982 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 102
Last updated 2019-07-30
Summary
Pancreaticoduodenectomy (PD) is considered one of the most complex and dangerous procedures in general surgery. This procedure is the preferred surgical procedure for treating tumors around the ampulla. Traditional open pancreaticoduodenectomy (OPD) has brought great surgical trauma to patients while treating diseases. In 1994, Gagner et al first reported laparoscopic pancreaticoduodenectomy (LPD). With the development of laparoscopic techniques, the updating of devices, and the continuous accumulation of laparoscopic gastrointestinal surgery experience, the results of retrospective studies published show that there is no significant difference in safety between LPD and OPD. However, the results of the recently published RCT study show that the mortality associated with LPD complications is five times greater than that of OPD. At present, the security of LPD has been controversial. Therefore we conducted a prospective randomized controlled trial with a primary outcome of perioperative complications, providing evidence-based results for the safe and effective clinical development of LPD.
Conditions
- Periampullary Tumor
- Complication
- Death
- Survival
Interventions
- PROCEDURE
-
laparoscopic pancreaticoduodenectomy
During laparoscopic surgery, the surgeon makes several smaller incisions in your abdomen and inserts special instruments, including a camera that transmits video to a monitor in the operating room. The surgeon watches the monitor to guide the surgical tools in performing the Whipple procedure. Laparoscopic surgery is a type of minimally invasive surgery.
- PROCEDURE
-
Open pancreaticoduodenectomy
During an open procedure, your surgeon makes an incision in your abdomen in order to access your pancreas. This is the most common approach and the most studied.
Sponsors & Collaborators
-
Beijing Friendship Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-08-31
- Primary Completion
- 2022-12-31
- Completion
- 2022-12-31
Countries
- China
Study Locations
More Related Trials
-
Preoperative Biliary Drainage in Patients With Operable Malignant Periampulary Tumors
NCT04289831 ·Status: COMPLETED ·Phase: NA
-
Trial of Omental Roll-up Technique on Pancreato-jejunostomy Anastomosis for Reducing Perioperative Complication in Patients Undergoing Pancreatoduodenectomy
NCT03083938 ·Status: UNKNOWN ·Phase: NA
-
Open Versus Total Laparoscopic Pancreaticoduodenectomy
NCT06661135 ·Status: COMPLETED ·Phase: NA
-
Application of 2D and 3D Laparoscopy in Laparoscopic Pancreaticoduodenectomy: a Prospective Randomized Clinical Trial
NCT03754595 ·Status: UNKNOWN ·Phase: NA
-
Comparison Between Endoscopic Stenting and Cholecystojejunostomy for PreoperativeDrainage Before Pancreaticoduodenectomy
NCT01913275 ·Status: WITHDRAWN ·Phase: NA
-
A Multicenter Prospective Randomized Controlled Study of RPD Versus LPD
NCT05755607 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Blood Loss in Laparoscopic vs Open Pancreaticoduodenectomy in Patients With Periampullary Carcinoma
NCT03722732 ·Status: UNKNOWN ·Phase: NA
-
Reduced Pancreatic Fistula Rate Following Pancreaticoduodenectomy: Trial on Pancreaticogastrostomy Versus Pancreaticojejunostomy
NCT00830778 ·Status: COMPLETED ·Phase: PHASE3
-
Risk Factors for Achieving TO After LDPPHR-t
NCT05569343 ·Status: COMPLETED
-
Early (4 Days) Versus Standard Drainage of the Abdominal Cavity After Pancreaticoduodenectomy
NCT01368094 ·Status: COMPLETED ·Phase: NA
-
Risk Factors for Clinically Relevant Postoperative Pancreatic Fistula
NCT05687825 ·Status: COMPLETED
-
Nonstented Stump-closed vs Duct-to-Mucosa Pancreaticojejunostomy After Pancreaticoduodenectomy
NCT01731821 ·Status: COMPLETED ·Phase: PHASE3
-
Application of "Heidelberg Triangle" Dissection in Pancreatoduodenectomy and Distal Pancreatectomy
NCT05703581 ·Status: UNKNOWN
-
Laparoscopic Versus Open Pancreatectomy
NCT00988793 ·Status: WITHDRAWN ·Phase: NA
-
Preoperative Biliary Drainage in Malignant Biliary Obstruction
NCT04847297 ·Status: NOT_YET_RECRUITING
-
The Differences of Complications Between LPD(Laparoscopic Pancreaticoduodenectomy) and OPD(Open Pancreaticoduodenectomy)
NCT06685939 ·Status: ENROLLING_BY_INVITATION
-
Modified vs Conventional Blumgart Anastomosis of LPD for the Effects of Pancreatic Fistula of Periampullary Carcinoma
NCT06076252 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Evaluation of Preoperative Biliary Drainage Before Pancreatoduodenectomy
NCT01941342 ·Status: UNKNOWN ·Phase: PHASE2
-
A Prospective Clinical Study Using an Artery-first Intermediate Approach in Robot-assisted Pancreaticoduodenectomy
NCT05660915 ·Status: RECRUITING ·Phase: NA
-
Inverted-Ω Anastomosis in Laparoscopic Duodenum-Preserving Pancreatic Head Resection or Laparoscopic Central Pancreatectomy
NCT07087392 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Pancreatoduodenectomy in Pancreatic and Periampullary Tumors
NCT02803814 ·Status: COMPLETED ·Phase: NA
-
Effect of Trans-Nasal Afferent Loop Decompression on Post-Pancreaticoduodenectomy Pancreatic Fistula
NCT04989868 ·Status: COMPLETED ·Phase: NA
-
Greater Omentum Binding to the Pancreatic Stump to Prevent Pancreatic Fistula Following Distal Pancreatectomy
NCT03752086 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of A New Digestive Reconstruction Procedure Following Pancreatoduodenectomy
NCT01931449 ·Status: UNKNOWN ·Phase: PHASE3
-
Impact of External Drainage of the Main Pancreatic Duct and Common Bile Duct on Pancreatic Fistula Following Pancreaticoduodenectomy
NCT06322680 ·Status: RECRUITING ·Phase: NA