EUS-RFA for Unresectable Pancreatic Cancer
Pancreatic Ductal Adenocarcinoma
About this trial
This is an interventional treatment trial for Pancreatic Ductal Adenocarcinoma focused on measuring Pancreatic ductal adenocarcinoma, Unresectable pancreatic cancer, Radiofrequency ablation, Endoscopic ultrasound
Eligibility Criteria
Inclusion Criteria:
- age 20 to 80 years old. ② unresectable PDAC based on review of abdominal cross-sectional imaging (CT or MRI) and cytology/ histology results. ③Intolerance to chemotherapy due to side effects or patient's comorbidities.
Exclusion Criteria:
- Pregnancy or breast-feeding;②ECOG performance status 3 or 4;③Patients with distant metastases or malignant ascites, life expectancy less than 3 months.
Sites / Locations
- Hangzhou First People's Hospital
Arms of the Study
Arm 1
Experimental
EUS-RFA
Patients were placed in the lateral position under deep sedation with supplementary oxygen and electrocardiograph monitoring. The target tumor was identified by EUS, then the biopsy needle stylet was removed and replace with the RFA probe. RF energy was applied for 90-120 seconds at 5 Watts. Wait 1 minute before repositioning the Habib™ EUS RFA needle and repeat procedure as many times as needed to ensure complete ablation of the tumor. EUS-guided celiac plexus neurolysis (EUS-CPN) was performed on patients with intractable upper abdominal pain.