This multicentre, prospective and randomized study aims(1:1) to compare the rate of recurrence, metastasis and survival according to the levels of intraoperative circulating tumor cells (CTCs) during cephalic duodenopancreatectomy in patients with pancreatic and periampullary tumors.
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Circulating tumor cells (CTC´s)
Timeframe: During the surgery: at the beginning of surgery, immediately after disconnecting the pancreas from the portal vein, just at the moment the pancreatic resection ends and before the skin closed
Local tumor recurrence
Timeframe: From the day of surgery to 3 years of follow-up
Metastasis
Timeframe: From the day of surgery to 3 years of follow-up
Patient survival
Timeframe: From the day of surgery to 3 years of follow-up