Long Term Outcomes of No-Touch Isolation Principles Applied in Pancreaticoduodenectomy for Treatment of Pancreatic Adenocarcinoma: A Multicenter Retrospective Study with Propensity Score Matching
机构:[1]Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.四川大学华西医院[2]Early Phase Clinical Research Unit, West China Hospital, Sichuan University, Chengdu 610041, China.四川大学华西医院[3]Department of Hepatobiliary Surgery, Chengdu Second People's Hospital, Chengdu 610011, China.[4]Department of Hepatobiliary Surgery, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China.昆明医科大学附属第一医院外科科室普通外科普通外二科(肝胆外科)
Background: The recurrence and liver metastasis rates are still high in pancreatic head cancer with curative surgical resection. A no-touch isolation principle in pancreaticoduodenectomy (PD) may improve this situation, however, the exact advantages and efficacy of these principles have not been confirmed. Materials and methods: Among 370 patients who underwent PD, three centers were selected and classified into two groups: the no-touch PD group (n = 70) and the conventional PD group (n = 300). Propensity score matching was used to control for selection bias at a ratio of 1:1. The confounding variables were age, sex, body mass index, adjuvant chemotherapy, carbohydrate antigen 19-9, tumor size and tumor differentiation. Results: Patients in the no-touch PD group had better overall survival (OS) and disease-free survival (DFS) than those in the conventional PD group (OS: 17 vs. 13 months, p = 0.0035, DFS: 15 vs. 12 months, p = 0.087), with lower 1- and 2-year disease-related mortality rates (1-year: 32.9% vs. 47%, p = 0.032; 2-year: 42.5% vs. 82% p = 0.000) and recurrence and liver metastasis rates (1-year: 30.0% vs. 43.3%, p = 0.041; 2-year: 34.3% vs. 48.7%, p = 0.030). Compared with the matched conventional PD group, the no-touch PD group also had a better OS (17 vs. 12 months, p = 0.032). Conclusions: Our study showed the no-touch isolation principle may be a better choice to improve long-term survival for pancreatic cancer patients.
基金:
Sichuan Province Science and Technology Planning Project
(2020YFS0262), West China Hospital Clinical Research Incubation Project (21HXFH058), the 1.3.5
Project for Disciplines of Excellence-Clinical Research Incubation Project (ZYJC21037),West China
Hospital, Sichuan University and the Science and Technology Planning Project of Yunnan Provincial
Department of Science and Technology (202001BA070001-191).
第一作者机构:[1]Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
Mou Yu,Song Yi,Liu Jinheng,et al.Long Term Outcomes of No-Touch Isolation Principles Applied in Pancreaticoduodenectomy for Treatment of Pancreatic Adenocarcinoma: A Multicenter Retrospective Study with Propensity Score Matching[J].JOURNAL OF CLINICAL MEDICINE.2023,12(2):doi:10.3390/jcm12020632.
APA:
Mou Yu,Song Yi,Liu Jinheng,Song Haiyu,Liu Xubao...&Ke Nengwen.(2023).Long Term Outcomes of No-Touch Isolation Principles Applied in Pancreaticoduodenectomy for Treatment of Pancreatic Adenocarcinoma: A Multicenter Retrospective Study with Propensity Score Matching.JOURNAL OF CLINICAL MEDICINE,12,(2)
MLA:
Mou Yu,et al."Long Term Outcomes of No-Touch Isolation Principles Applied in Pancreaticoduodenectomy for Treatment of Pancreatic Adenocarcinoma: A Multicenter Retrospective Study with Propensity Score Matching".JOURNAL OF CLINICAL MEDICINE 12..2(2023)