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The effect of minimally invasive or open radical antegrade modular pancreatosplenectomy on pancreatic cancer: A multicenter randomized clinical trial protocol

  • Menghua Dai
  • , Hanyu Zhang
  • , Yinmo Yang
  • , Dianrong Xiu
  • , Bing Peng
  • , Bei Sun
  • , Feng Cao
  • , Zheng Wu
  • , Lei Wang
  • , Chunhui Yuan
  • , Hua Chen
  • , Zheng Wang
  • , Xiaodong Tian
  • , Hangyan Wang
  • , Wenjing Liu
  • , Jianwei Xu
  • , Qiaofei Liu
  • , Yupei Zhao
  • Chinese Academy of Medical Sciences
  • Peking University
  • Sichuan University
  • The First Affiliated Hospital of Harbin Medical University
  • Capital Medical University
  • The First Affiliated Hospital of Xi’an Jiaotong University
  • Qilu Hospital of Shandong University

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background: Radical antegrade modular pancreatosplenectomy (RAMPS) has been proven to improve R0 resection and lymph harvest in treating patients with distal pancreatic cancer. The development of minimally invasive surgery has advantages in postoperative recovery. Therefore, minimally invasive (MI-) RAMPS may combine the advantages of both benefits to improve survival. Nevertheless, evidence to validate the safety and efficacy of MI-RAMPS is limited. Method/Design: The MIRROR trial will be the first multicenter prospective randomized clinical trial to investigate the outcome of MI-RAMPS. The hypothesis is that MI-RAMPS is superior in postoperative recovery. The primary outcome is the length of postoperative stay. Based on the hypothesis and primary outcome, the sample size is 250 patients (125 participants in each group). The trial will investigate factors related to surgical safety, short-term outcome, pathological assessment, and survival as secondary outcomes. Conclusion: This study will offer a relatively higher level of evidence to further illustrate the accessibility and benefits of MI-RAMPS for the treatment of distal pancreatic cancer. Clinical Trial Registration: Clinicaltrials.gov, NCT03770559.

Original languageEnglish
Article number965508
JournalFrontiers in Oncology
Volume12
DOIs
StatePublished - 15 Sep 2022
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • clinical trial
  • design
  • length of stay
  • minimally invasive surgery
  • pancreatic cancer
  • protocol
  • radical antegrade modular pancreatosplenectomy

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