Clinical efficacy and safety of irreversible electroporation combined with chemotherapy in stage IV pancreatic cancer treatment.

Journal of cancer research and therapeutics Pub Date : 2024-08-01 Epub Date: 2024-08-29 DOI:10.4103/jcrt.jcrt_73_24
Jia Zeng, Boyu Liu, Xu Lang, Zhe Wang, Yong Fan, Chuntao Gao, Dianxun Fu
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Abstract

Purpose: This study evaluates the clinical efficacy and safety of irreversible electroporation (IRE) therapy combined with chemotherapy in patients with stage IV pancreatic cancer.

Methods: Between September 2021 and November 2023, we enrolled 38 patients with stage IV pancreatic cancer, with 20 receiving IRE plus chemotherapy and 18 receiving only chemotherapy. We recorded the general information of the patients and regularly followed up postoperative IRE-related adverse reactions. Progression-free survival (PFS) and overall survival (OS) were evaluated during follow-up.

Results: Median OS was longer in the IRE group than in the chemotherapy group. Median PFS was slightly extended with IRE compared to chemotherapy alone. The mean hospital stay for the IRE group was 5.90 ± 0.75 days. Four serious adverse events occurred after IRE. Postoperative pain scores were significantly lower than preoperative scores.

Conclusion: IRE combined with chemotherapy showed clinical effectiveness in stage IV pancreatic cancer treatment, offering potential pain reduction benefits with fewer adverse effects and shorter hospital stays.

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不可逆电穿孔联合化疗治疗 IV 期胰腺癌的临床疗效和安全性。
目的:本研究评估不可逆电穿孔(IRE)疗法联合化疗对IV期胰腺癌患者的临床疗效和安全性:在 2021 年 9 月至 2023 年 11 月期间,我们招募了 38 例 IV 期胰腺癌患者,其中 20 例接受 IRE 加化疗,18 例仅接受化疗。我们记录了患者的一般信息,并定期随访术后与IRE相关的不良反应。随访期间评估了无进展生存期(PFS)和总生存期(OS):结果:IRE组的中位OS长于化疗组。与单纯化疗相比,IRE组的中位生存期略有延长。IRE组的平均住院时间为5.90±0.75天。IRE术后发生了4起严重不良事件。术后疼痛评分明显低于术前评分:IRE联合化疗在IV期胰腺癌治疗中显示出临床疗效,具有减轻疼痛、减少不良反应和缩短住院时间的潜在优势。
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