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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 20 March 2023
Main ID:  ISRCTN26912858
Date of registration: 28/09/2015
Prospective Registration: Yes
Primary sponsor: Region Östergötland
Public title: Comparison of laparoscopic and open distal pancreatectomy
Scientific title: RCT-Laparoscopic vs open distal pancreatectomy in an unselected patient cohort
Date of first enrolment: 01/10/2015
Target sample size: 60
Recruitment status: Completed
URL:  https://www.isrctn.com/ISRCTN26912858
Study type:  Interventional
Study design:  Prospective, randomized comparison of laparoscopic vs. open distal pancreatectomy, multicentre (Treatment)  
Phase:  Not Applicable
Countries of recruitment
Sweden
Contacts
Name: Bergthor    Björnsson
Address:  Linköping University Hospital Surgical Department 58185 Linköping Syria
Telephone:
Email:
Affiliation: 
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria:
1.Patients with lesion in the body or tail of the pancreas demanding surgery (indication set by multidisciplinary conference)
2. Operable patient (as the local preoperatively evaluation dictates)
3. Possibility to achieve R0-resection without resection of additional organs (besides the spleen)
4. Patients with performance status 0-2 according to WHO scale
5. Written informed consent.
6. Age > 18 years

Exclusion criteria:
1. Pregnancy and/or lactation
2. Patients being unable to comply with the protocol for reasons of language or cognitive function
3. Preoperatively defined need to resect other organs than pancreas and spleen
4. Preoperatively defined division line of pancreas to the right of the SMV


Age minimum:
Age maximum:
Gender: Both
Health Condition(s) or Problem(s) studied
Pancreatic tumors
Cancer
Intervention(s)

Two arms:
1. Laparoscopic distal pancreatectomy
2. Open distal pancreatectomy
Primary Outcome(s)
Length of stay in hospital after laparoscopic- and open distal pancreatectomy
Secondary Outcome(s)

1. To compare perioperative bleeding during LDP and ODP, measured after operation
2. To compare postoperative pain after LDP and ODP, measured 3 times/day during hospital stay with Visual analouge scale
3. To compare the use of analgetics after LDP and ODP, measured at discharge, amount of drugs given
4. To evaluate quality of life postoperatively after LDP and ODP, measured 5-6 weeks postoperatively as well as 6, 12 and 24 months after operation. Tools for measurement: EORTC QLQ-C30 to which is added the PAN26 module and EQ-5D.
5. To analyze costs associated with LDP and ODP. Measured as direct (hospital cost) after discharge a combination of actual cost and schablon is used
6. To compare complications in LDP and ODP measured up to 90 Days after operation according to Clavien-Dindo classification as well as comprehensive complication index
7. To evaluate survival, measured 2 years after operation
8. Oncological quality of resection measured by PAD assessment as number of investigated lymphnodes and tumor marginal in mm
Secondary ID(s)
N/A
Source(s) of Monetary Support
Region Östergötland (Sweden)
Secondary Sponsor(s)
Ethics review
Status:
Approval date:
Contact:
Regionala etikprövningsnämnden i Linköping (The regional ethics board for South-east Sweden), ref: 2015/39-31
Results
Results available: Yes
Date Posted:
Date Completed: 31/12/2021
URL:
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