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NCT07009119Recruiting

Laparoscopic Pancreaticoduodenectomy

Feasibility, Safety and Short-term Oncosurgical Outcome of Laparoscopic Pancreaticoduodenectomy for Malignancy: A Single Centre Experience

Source: ClinicalTrials.gov · Last updated 29 Aug 2025 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

Laparoscopic pancreaticoduodenectomy was first performed by Garner and Pomp in 1994. This is a technically difficult, time consuming and high rate of complication procedure. The reason is that duodenum and head of pancreas locate deeply in retroperitoneum and are surrounded by important structures such as inferior vena cava, abdominal aorta, superior mesenteric artery, superior mesenteric vein (SMV), portal vein (PV) and hepatic arteries. Injuring these structures during the surgery can lead to life-threatening complications. Moreover, doing anastomoses through laparoscopy, especially pancreatic anastomosis, is more difficult and takes more time than through open approach. The outcome of PD has improved over the last two decades due to advances in surgical techniques, anesthesia and perioperative care. Although studies from high volume centers demonstrate reduce in the operative mortality to less than 3%, the postoperative morbidity rate is still ranging from 30% to 60%. Laparoscopic surgery is being used increasingly as a less invasive alternative to traditional interventions for pancreatic resection. Laparoscopic pancreaticoduodenectomy (LPD) is a difficult procedure that has become increasingly popular. Nevertheless, comparative data on outcomes remain limited. In this prospective study, investigators evaluate the safety and feasibility of surgical and oncological outcomes of minimally invasive PD.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
30 (estimated)
First submitted
20 May 2025
Start date
1 Jun 2025
Primary completion date
1 Jun 2026
Lead sponsor
Minia University
NCT number
NCT07009119

What you commit to

  • Study type: Interventional
  • Planned participants: 30
  • From 1 Jun 2025 to the primary completion date, 1 Jun 2026
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Patients requiring left, central or total pancreatectomy or other palliative surgery.
  • Patients with vascular invasion and requiring vascular resection as evaluated by the multidisciplinary team team according to abdominal imaging data.

Other illness

  • Unfit patients for surgery due to severe medical illness.
  • History of other malignant disease.
  • Patients with serious mental disorders.

Other

  • Inoperable patients with distant metastases, including peritoneal, liver, distant lymph node metastases, and involvement of other organs.
  • Irresectable tumors in diagnostic laparoscopy.
  • Pregnant or breast-feeding women.
  • Pancreatoduodenectomy for other diagnosis like cystic lesions, benign tumors or chronic calcific pancreatitis
  • Patients with cirrhotic liver.
  • Patients refused to participate in the study.

Who the study is looking for

  • Patients meeting the curative treatment intent in accordance with clinical guidelines:
    • No evidence of metastasis.
    • Radiological non-involvement of superior mesenteric vein \& portal vein.
    • Preserved fat planes between celiac axis, hepatic artery \& superior mesenteric artery.
  • Patients presenting with resectable pancreatic head cancer, cholangiocarcinoma, duodenal cancer and ampullary tumours who are fit for laparoscopic pancreaticoduodenectomy.

Age in the registry: 18 years to 75 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Liver and GIT hospital , Minia University
Coordinator of this site? Confirm its status
MinyaEgyptRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.