Could a radiofrequency knife beat the stapler for safer pancreas surgery?
NCT ID NCT04402346
First seen Jul 20, 2026 · Last updated Jul 21, 2026 · Updated 1 time
Summary
This trial tests whether using a radiofrequency device to cut the pancreas during distal pancreatectomy reduces the chance of a pancreatic fistula (a leak of digestive fluids) compared to the standard stapler method. About 112 adults having this surgery for benign or malignant tumors will be randomly assigned to one of the two techniques. The main goal is to see which method leads to fewer fistulas, with follow-up on complications and recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- radiofrequency-assisted pancreas transection or stapler-assisted pancreas transection
- What this could lead to
- If radiofrequency transection proves better, it could reduce the risk of pancreatic fistula, a serious complication after pancreas surgery.
- What could go wrong
- This is a single trial with 112 participants, and results may not apply to all patients or surgical settings. The procedure also carries its own risks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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112 people
The number who actually took part.
- Started
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Feb 2021
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Solid or cystic, benign or malign pancreas neoplasms. * Patients undergoing a distal pancreatectomy, i.e pancreas transection beyond \> 2 cm from the SMV (assessed by computer tomography or RM) with or without splenectomy * Both open and laparoscopic approaches are valid. Exclusion Criteria: * Patients who required a pancreatectomy with transection at the level of the neck. * Non-intervention group: only stapler transection will be accepted, other pancreatic transection methods will be excluded. * Patients ASA≥IV * Absence of informed consent * Underage (\<18 years)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Parc de Salut Mar de Barcelona- Hospital del Mar
Barcelona, Catalonia, 08019, Spain
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