Adenocarcinoma, Pancreas
Conditions
Keywords
pancreas, adenocarcinoma
Brief summary
This multicentric prospective study evaluates the role of the margins resection and the ganglionic status when using a quality standard for the resection of adenocarcinoma of the head of the pancreas.
Detailed description
Primary objective: * Evaluation of the prognosis role of the invasion of the margins on the overall survival after a standard resection of adenocarcinoma of the head of the pancreas. Secondary objectives: * Evaluation of the prognosis role of the invasion: * Of margins on the overall survival. * Of each margins (distal pancreatic margin, gastric, posterior, retro-venous, retro-arterial) on the overall survival. * Of the ganglionic group of the superior mesenteric artery and the other nodes.
Interventions
quality standard for the resection of adenocarcinoma of the head of the pancreas
Sponsors
Study design
Eligibility
Inclusion criteria
* A head of the pancreas tumor compatible with adenocarcinoma diagnosis * tumor apparently removable * patient aged from 18 to older * signed consent Non inclusion criteria: * pregnancy, breast feeding * patient in an urgency situation or patient with legal protection
Exclusion criteria
after surgery: * tumor other than adenocarcinoma of the head of the pancreas. * analysis of the margins not done with the defined criteria * nonadhesion to the surgical protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prognostic value of the invasion of the margins measured in millimetres on the overall survival | 4 years |
Secondary
| Measure | Time frame |
|---|---|
| Relapse free survival: time between surgery and relapse or a right censure. The relapse is determined by clinical examination, biologic examination and imaging, which reveals metastasis or an isolated local relapse | 4 years |
Countries
France