Using a new surgical approach for robot-assisted pancreatic surgery

A Prospective Clinical Study of the Safety and Efficacy of Robot-assisted Pancreaticoduodenectomy Using an Artery-first Intermediate Approach

NA · The First Affiliated Hospital of University of South China · NCT05660915

This study is testing a new surgical method for robot-assisted surgery on the pancreas to see if it works better and is safer for people with pancreatic cancer compared to the standard approach.

Quick facts

PhaseNA
Study typeInterventional
Enrollment80 (estimated)
Ages18 Years and up
SexAll
SponsorThe First Affiliated Hospital of University of South China (other)
Locations1 site (Hengyang, Hunan)
Trial IDNCT05660915 on ClinicalTrials.gov

What this trial studies

This clinical trial evaluates the efficacy and safety of an intermediate approach in robot-assisted pancreaticoduodenectomy for patients with pancreatic cancer and related conditions. Participants will be randomized into two groups: one receiving the standard surgical approach and the other receiving the new intermediate approach. The study aims to assess outcomes such as intraoperative bleeding, postoperative complications, and long-term prognosis. All surgeries will be performed by the same surgical team following standardized protocols to ensure consistency in care.

Who should consider this trial

Good fit: Ideal candidates are adults over 18 with tumors in the head of the pancreas, ampulla, or distal common bile duct that can be treated with pancreaticoduodenectomy.

Not a fit: Patients with tumors in other organs or those unable to tolerate anesthesia or surgery due to severe organ dysfunction may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to improved surgical outcomes and recovery for patients undergoing pancreatic surgery.

How similar studies have performed: While the artery-first approach has shown promise in clinical practice, the intermediate approach is relatively novel and has not been extensively tested in prior studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Over 18 years old
* Preoperative imaging suggested the presence of space occupying in the head of the pancreas, ampullary abdomen, and distal common bile duct tumor lesions to be treated with Pancreaticoduodenectomy
* No obvious arterial invasion, no obvious venous invasion or vein invasion but can be replaced
* No distant transfer
* Complete clinical data

Exclusion Criteria:

* With tumors of other organs
* Patients unable to tolerate anesthesia and operation due to serious abnormalities in functions of heart, lung and other important organs
* Patients found intraoperative peripheral organ metastasis combined with excision of other organs or found intraoperative radical excision could not be performed and underwent palliative drainage surgery or end the surgery
* Preoperative adjuvant therapy was given
* Clinical data are seriously missing

Where this trial is running

Hengyang, Hunan

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Pancreatic Cancer, Common Bile Duct Diseases, Periampullary Carcinoma, Robot-assisted pancreaticoduodenectomy, Superior mesenteric artery first approach, Intermediate approach, Safety and Efficacy, randomized controlled trial

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.