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CompletedNCT05723978Updated Feb 13, 2023

Selective Extended Dissection in Different Types of Pancreatic Head Cancer: A Retrospective Cohort Study.

An observational study in Carcinoma, Pancreatic Ductal, sponsored by Tianjin Medical University Cancer Institute and Hospital. Completed at 1 site in China. Per ClinicalTrials.gov, last updated 2023-02-13.

Sponsored by Tianjin Medical University Cancer Institute and Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
520
Sex
All
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Study summary

Pancreatic ductal adenocarcinoma (PDAC) is a highly malignant tumor with relatively poor survival. Surgery is the first choice for the treatment of patients with early pancreatic cancer. However, the surgical approach and the extent of resection for patients with pancreatic cancer are controversial at present.

The investigators optimized the procedure of standard pancreaticoduodenectomy to selective extended dissection (SED), which is based on the extra-pancreatic nerve plexus (PLX) potentially invaded by tumor. The investigators retrospectively analyzed the clinicopathological data of patients with pancreatic adenocarcinoma who underwent radical surgery in our center from 2011 to 2020. Patients who underwent standard dissection (SD) were matched 2:1 to those who underwent SED using propensity score matching (PSM). The log-rank test and cox regression model were used to analyze survival data. In addition, statistical analyses were performed for the perioperative complications, postoperative pathology and recurrence pattern.

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Conditions studied

  • Carcinoma, Pancreatic Ductal
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In context

Head and Neck Neoplasms

2,344 studies on the registry are indexed under Head and Neck Neoplasms; 552 are open to participants now.

This study's enrollment of 520 is above the median of 100 across 441 observational studies indexed under Head and Neck Neoplasms.

Browse Head and Neck Neoplasms studies →

Lead sponsor

Tianjin Medical University Cancer Institute and Hospital is the lead sponsor of 484 studies on the registry; 286 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients diagnosed as resectable pancreatic cancer were pathologically diagnosed as PDAC after surgery

Inclusion criteria

    1. Patients diagnosed as resectable pancreatic cancer were pathologically diagnosed as PDAC after surgery.
  1. Patients received radical surgery (R0) and had complete photos or videos of the operation.

Exclusion criteria

Exclusion Criteria:

    1. The operation records as well as related photo or video data could not reflect the surgical approach and the extent of resection.
  1. Patients with incomplete clinical, pathological, imaging and follow-up information.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
520 participants (actual)
Patient registry
No

Groups and cohorts

  • Selective extended dissection (SED) group

    Procedure: Selective extended dissection of pancreaticoduodenectomy

  • Standard dissection (SD) group

Interventions

  • ProcedureSelective extended dissection of pancreaticoduodenectomy

    An optimized procedure of pancreaticoduodenectomy which is based on the extra-pancreatic nerve plexus (PLX) potentially invaded by tumor.

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What researchers measure

Primary outcomes

  1. Disease-free survival (DFS)

    Time frame: From the day the patient received surgery to the time the patient was diagnosed with postoperative recurrence, assessed up to 36 months.

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Study locations

1 site
  • Tianjin Medical University Cancer Institute and Hospital
    Tianjin, Tianjin 30000, China
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References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05723978
Lead sponsor
Tianjin Medical University Cancer Institute and Hospital
Responsible party
Sponsor
First posted
Feb 13, 2023
Start date
Jan 1, 2011
Primary completion
Jul 1, 2022
Completion
Dec 1, 2022
Last update
Feb 13, 2023

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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