Status:

COMPLETED

Robotic Versus Open Pancreaticoduodenectomy for Pancreatic and Periampullary Tumors

Lead Sponsor:

Ruijin Hospital

Collaborating Sponsors:

Intuitive Surgical

Conditions:

Pancreatic Adenocarcinoma

Pancreatic Cysts

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This multicenter randomized trial aims to primarily assess and compare the functional recovery of patients who undergo open versus robotic pancreaticoduodenectomy for benign and malignant lesions of t...

Detailed Description

The PORTAL trial is a Phase 3 multicenter non-inferiority randomized controlled trial that aims to address the question of feasibility and efficacy of the robotic minimally invasive approach in pancre...

Eligibility Criteria

Inclusion

  • Patients with an indication for elective pancreaticoduodenectomy for malignant, premalignant, and symptomatic benign disease in the pancreatic and periampullary region
  • Performance status of 0/1 (assessed based on comorbidities using the Karnofsky score and Malnutrition Universal Screening Tool score among others, especially for patients with malignant disease)
  • Imaging with computed tomography and/or MRI pancreas performed within 8 weeks for benign and 4 weeks for malignant disease; for the latter tumor staging with MRI liver, CT chest, and Cancer Antigen 19-9 is also mandatory.

Exclusion

  • Body mass index \> 35 kg/m2
  • Pregnancy
  • Previous history of major abdominal surgery
  • Requirement for multivisceral resection (additional surgical resection)
  • Preoperative chemotherapy and/or radiotherapy (for patients with pancreatic adenocarcinoma)
  • Involvement of major regional vessels by the tumor (portal and superior mesenteric vein, superior mesenteric artery, hepatic artery, celiac artery) as defined by the borderline resectable and locally advanced nomenclature

Key Trial Info

Start Date :

September 28 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 28 2025

Estimated Enrollment :

268 Patients enrolled

Trial Details

Trial ID

NCT04400357

Start Date

September 28 2020

End Date

February 28 2025

Last Update

December 18 2025

Active Locations (1)

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1

Ruijin Hospital Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China, 200025