Evidence map›Paper›PMID 42409398›Full record

ArticleBMJ open2026

Laparoscopic versus open pancreaticoduodenectomy for non-pancreatic periampullary adenocarcinomas: study protocol for a multicentre randomised controlled trial in China.

Shizhen Li, Shutao Pan, Min Wang, Xiaobing Huang, Wenxing Zhao, Xianjun Yu, Xuemin Chen, Hua Chen, Xueyi Dang, Guodong Chen and 8 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05788029 (Comparing Laparoscopic and Open Pancreaticoduodenectomy for Nonpancreatic Periampullary Adenocarcinomas), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05788029 naenrolling by invitationnot on this map

Comparing Laparoscopic and Open Pancreaticoduodenectomy for Nonpancreatic Periampullary Adenocarcinomas

TypeinterventionalSponsorTongji HospitalRan2024 to 2028Enrolled212ConditionsPeriampullary AdenocarcinomaArmslaparoscopic pancreaticoduodenectomy, open pancreaticoduodenectomy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Shizhen LiDivision of Hepato-Pancreato-Biliary Surgery, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China.ORCID http://orcid.org/0009-0002-2965-3091
Shutao PanDivision of Hepato-Pancreato-Biliary Surgery, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China.
Min WangDivision of Hepato-Pancreato-Biliary Surgery, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China.ORCID http://orcid.org/0000-0002-5664-7757
Xiaobing HuangDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital of Army Medical University, Chongqing, China.ORCID http://orcid.org/0009-0008-0364-5839
Wenxing ZhaoDepartment of General Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xianjun YuDepartment of Pancreatic Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID http://orcid.org/0000-0002-6697-7143
Xuemin ChenDepartment of Hepatopancreatobiliary Surgery, Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China.ORCID http://orcid.org/0000-0002-0529-3346
Hua ChenDepartment of Pancreatic and Biliary Surgery, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.ORCID http://orcid.org/0000-0002-6726-791X
Xueyi DangDepartment of General Surgery, Shanxi Cancer Hospital, Taiyuan, Shanxi, China.
Guodong ChenDepartment of Hepatopancreatobiliary Surgery, The First Affiliated Hospital of University of South China Clinical Medicine Research Center, Hengyang, Hunan, China.
Lei WangDepartment of Pancreatic Surgery, General Surgery, Shandong University Cheeloo College of Medicine, Jinan, Shandong, China.ORCID http://orcid.org/0000-0001-8449-6960
Weide AnDepartment of General Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Qifan ZhangDivision of Hepatobiliopancreatic surgery, Southern Medical University Nanfang Hospital, Guangzhou, China.
Song GaoDepartment of Pancreatic Carcinoma, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Shixiang GuoInstitute of Hepatopancreatobiliary Surgery, Chongqing General Hospital, Chongqing, China.
Tingting QinDivision of Hepato-Pancreato-Biliary Surgery, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China.
Hang ZhangDivision of Hepato-Pancreato-Biliary Surgery, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China ryqin@tjh.tjmu.edu.cn zhanghang@hust.edu.cn.
Renyi QinDivision of Hepato-Pancreato-Biliary Surgery, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China ryqin@tjh.tjmu.edu.cn zhanghang@hust.edu.cn.ORCID http://orcid.org/0000-0001-5079-5137

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPancreaticoduodenectomy (PD) is the preferred surgical approach for resectable periampullary carcinomas. Non-pancreatic periampullary carcinomas (NPPC) demonstrate distinct biological behaviours and are generally less aggressive than pancreatic cancer. Despite over three decades of advancements, the role of laparoscopic PD (LPD) remains debated. Few studies have directly compared LPD and open PD (OPD) while accounting for tumour invasiveness, and the data specifically evaluating LPD vs OPD for NPPC are limited. Randomised controlled trials are necessary to determine whether therapeutic outcomes differ between LPD and OPD in NPPC patients. METHODS AND ANALYSIS: The TJDBPS14 trial is a prospective, randomised controlled, open-label, multicentre non-inferiority study with a parallel-group design. All participating surgeons have performed at least 104 LPD and OPD procedures. A total of 212 selected patients diagnosed with NPPC and eligible for PD will be randomly assigned to either LPD or OPD. The primary outcome is postoperative hospital stay, with secondary outcomes including 1-year survival rate, perioperative outcomes, incidence of perioperative complications, short-term outcomes and quality of life. The hypothesis is that the postoperative hospital stay for the LPD group will not exceed that of the OPD group. ETHICS AND DISSEMINATION: This study was approved by the Ethics Committee of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, with independent third-party monitoring. The results of the trial will be presented at international conferences and published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT05788029. Registered on 30 November 2022.

Indexed as

AdenocarcinomaCommon Bile Duct NeoplasmsLaparoscopyPancreatic NeoplasmsPancreaticoduodenectomyAmpulla of VaterChinaEquivalence Trials as TopicHumansLength of StayMulticenter Studies as TopicPostoperative ComplicationsProspective StudiesQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeClinical trialsPancreatic surgeryRandomized Controlled Trial

Identifiers

PMID42409398
PMCPMC13343101

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.