Malignant tumors of pancreatic head, ampulla and duodenum
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a. Age < 70 years old. Preoperative laboratory and imaging examinations are highly suggestive of malignant tumors of the pancreatic head, ampulla and duodenum. b. Preoperative examination showed no distant metastasis and vascular invasion. c. No history of tumor in other parts or tumor resection. d. There is no basic disease that affects the patient's survival rate in the short term. e. The patient's family members and legal representatives signed the informed consent form to join the study voluntarily.
Exclusion criteria
Exclusion criteria: a. Intraoperative freezing and postoperative pathology confirmed IPMN, serous cystadenoma, mass chronic pancreatitis, autoimmune pancreatitis, etc. b. During the operation, it was found that the tumor had metastasized to the liver, omentum, mesentery, peritoneum and other organs and tissues, and invaded the celiac trunk, superior mesenteric vessels, inferior vena cava, and abdominal aorta. c. Serious diseases combined with other important organs, such as severe coronary heart disease, etc., but diabetes is not excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compared with standard LPD, whether the surgical time, intraoperative bleeding, incidence of complications, and perioperative mortality of in situ LPD are higher than those of standard LPD, indicating the safety of the surgery;;Compared with standard LPD, can in-situ LPD reduce the probability of postoperative liver metastasis and local recurrence in patients, indicating the effectiveness of surgery.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Disease-free Survival, DFS;Overall Survival, OS;Quality of Life; | — |
Countries
China
Contacts
West China Hospital, Sichuan University