Clinical Outcomes of Preservation Versus Resection of Portal/Superior Mesenteric Vein During Pancreaticoduodenectomy in Pancreatic Cancer Patients Who Respond to Neoadjuvant Treatment
NCT06372886 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 264
Last updated 2024-04-18
Summary
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.
Conditions
- Pancreatic Head Cancer Patients Who Underwent Surgery After Neoadjuvant Treatment
Interventions
- PROCEDURE
-
portal/superior vein resection
portal/superior vein resection
Sponsors & Collaborators
-
Seoul National University Hospital
lead OTHER
Eligibility
- Max Age
- 79 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-01-01
- Primary Completion
- 2022-01-01
- Completion
- 2024-03-01
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