Robot-assisted Versus Open Lateral Pancreaticojejunostomy for the Treatment of Symptomatic Chronic Pancreatitis (PANACOTTA)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Robot-assisted lateral pancreaticojejunostomy, Open lateral pancreaticojejunostomy.
- Who it may be relevant to
- Registry conditions: Chronic Pancreatitis, Surgery, Minimally Invasive Surgical Technique, Robot Surgica. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Netherlands
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Robot-assisted Versus Open Lateral Pancreaticojejunostomy for the Treatment of Symptomatic Chronic Pancreatitis (PANACOTTA): a Multicenter Randomized Controlled Trial
Overview
PANACOTTA is a multicenter randomized controlled trial including patients with symptomatic chronic pancreatitis and a dilated main pancreatic duct to either robot-assisted or open lateral pancreaticojejunostomy. The PANACOTTA trial will assess the post-operative quality of recovery following robot-assisted versus open lateral pancreaticojejunostomy.
Interventions
- Procedure Robot-assisted lateral pancreaticojejunostomy
Robot-assisted - Procedure Open lateral pancreaticojejunostomy
Open surgery
Primary outcome measures
- Quality of Recovery (QoR-15) [Time frame: Daily assessments on Post-operative Day 1 through Day 5 and up to time of functional recovery, defined individually per patient (maximum of 90 days from surgery).]
Eligibility criteria
Inclusion criteria
- At least 18 years old
- Indication for (extended or partial) lateral pancreaticojejunostomy as agreed during multidisciplinary team meeting based on symptomatic chronic pancreatitis (i.e. morphine dependent pain or recurrent acute flares of pancreatitis, at least 3 episodes per year) and a dilated pancreatic duct of ≥ 5 mm, with a non-enlarged pancreatic head < 40 mm
- Confirmed CP, according to the M-ANNHEIM diagnostic Criteria24
- Eligible for both an robot-assisted and open approach
- Obtained written informed consent
Exclusion criteria
- Suspected or confirmed current pancreatic cancer
- ASA classification ≥ 4
- Other painful conditions aside from CP, with pain difficult to discriminate from CP pain
- Prior pancreatic surgery
- Pregnancy
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Netherlands · 1 center
- Amsterdam UMC — Amsterdam
Identifiers
NCT: NCT07109180 · NL87297.018.24