Minimally Invasive Surgery, Pancreatic Ductal Adenocarcinoma
Conditions
Keywords
Robotic assisted surgery
Brief summary
The purpose of this study is to determine whether robotic surgery has limitations in terms of patient age, tumor size, location, and vascular relationship when compared to open surgery for pancreatic cancer. Whether robotic surgery has advantages over intraoperative bleeding, operative time, postoperative complications (bleeding, infection, pancreatic fistula) and postoperative hospital stays compared to open surgery.And the differences in lymph nodes harvest and postoperative survival between two groups.
Interventions
Pancreatectomy with robotic assisted system
Traditional open pancreatectomy
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed pancreatic ductal adenocarcinoma * Patients and their families volunteered to test and signed informed consent.
Exclusion criteria
* Preoperative exclusion: 1. Patients with metastasis (M1) 2. Patients with tumor recurrence 3. Patients with artery and/or vein invasion and can't perform radical resection and reconstruction 4. Patients with poor cardiopulmonary function cannot tolerate surgery; 5. receive neoadjuvant radiotherapy and chemotherapy before surgery; 6. The patient or family member refuses to join the group; 7. Pregnant patients * Intraoperative exclusion: 1. Intraoperative exploration of metastases in other parts besides the primary lesion 2. Other organs malignant tumors metastasize to the pancreas * Postoperative exclusion: 1. pathology confirmed non-pancreatic ductal adenocarcinoma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1 year overall survival rate | 1 year post-operation |
| 3 years overall survival rate | 3 years post-operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Complications | Within 90 days or before discharge | pancreatic fistula, bile leakage, hemorrhage, DGE, etc |
| 1, 3years disease free survival rate | 1,3years post-operation | — |
Countries
China