NCT06631352CompletedNot Applicable
Outcomes and Prognostic Factors in Hepatopancreatoduodenectomy
Conditions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 50
- Primary Endpoint
- 5-year overall survival
Study Overview
Brief Summary
- In biliary tract malignancies, achieving a microscopically clear resection margin (R0) is considered the only treatment for a cure.
- Hepatopancreatoduodenectomy(HPD) has been considered a surgical option for patients with extensive bile duct or gallbladder cancer to achieve an R0 resection.
- The associated high morbidity and mortality rates have prevented HPD from becoming a standard surgical procedure worldwide.
- Over the past few decades, the understanding of the bile duct anatomy has significantly improved, and many methods have been developed to assess liver function and future remnant liver volume.
- We aimed to evaluate the short- and long-term outcomes of HPD and to assess risk factors associated with survival, early recurrence, and major complications to better evaluate the potential of the procedure as a standard treatment.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 19 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients who received hepatopancreatoduodenectomy between January 2000 and December 2023.
Exclusion Criteria
- •Patients who had R2 resection
Outcomes
Primary Outcomes
5-year overall survival
Time Frame: assessed up to 60months
the time from the date of surgery to the date of death or last follow-up.
5-year disease-free survival
Time Frame: assessed up to 60months
from the date of surgery to the first instance of recurrence, death, or last follow-up date.
Secondary Outcomes
- Post operative complications(assessed up to 30 days from the surgery)
Investigators
Jin-Young Jang
Professor
Seoul National University Hospital
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