Adenocarcinoma, Circulating Tumor Cells, Pancreatic Neoplasms
Conditions
Keywords
Circulating Tumor Cells, Anesthesia and immunity, Cell Search System
Brief summary
Proportion of circulating tumor cells (CTC) in the postoperative phase after curative tumor removal of pancreatic cancer will be determined and correlated to the accordance of anesthesia (desflurane versus propofol)
Detailed description
This prospective, randomized study will be conducted over a 36-month period to investigate whether commonly used anesthetics (volatile versus intravenous) have an effect on the changes or occurrence of CTC in patients suffering from primary pancreatic cancer undergoing curative surgery. The specific research question is if there are changes of the CTC count in the postoperative phase in the desflurane group (intervention) compared to the propofol one (control). A secondary question is if these changes can be correlated to tumor outcome.
Interventions
Apply desflurane as anesthetic
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 to 85 * ASA I-III ( American Society of Anesthesiologists) * Resectable pancreatic adenocarcinoma * Primary surgery * No neoadjuvant therapy * Written informed consent
Exclusion criteria
* Metastatic disease * Other than primary surgery (recurrence, reconstruction) * Pre-operative chemotherapy * Chronic opioid use * Known hypersensitivity or suspected allergy to propofol, soya or egg proteins * Known hypersensitivity to volatile anaesthetics (malignant hyperthermia) * Pregnancy * Breast feeding * Enrolment in any other clinical trial during the course of this trial, 30 days prior to its beginning or 30 days after its completion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peak of CTC in the postoperative phase after curative tumor removal | Day 0 to Day 7 | CTC will be counted and peak of CTC will be determined. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Kinetics of CTC after surgery up to day 7 | 1 year | CTC will be counted and kinetics of CTC will be determined. |
| Month to Tumor recurrence | 1 year | Tumor recurrence will be monitored. |
| Number of surviving patients | 1 year | One year after surgery the number of patients still being alive will be determined. |
Countries
Switzerland