Health Condition 1: K863- Pseudocyst of pancreas
Conditions
Interventions
Intervention1: Laparoscopic Cystogastrostomy With Pancreatic Necrosectomy: Under General Anesthesia, With Laparoscope,The bulge of the WON on the posterior wall of the stomach will be identified. The
Sponsors
AIIMS
Eligibility
Inclusion criteria
Inclusion criteria: Patient With The Following Inclusion Criteria Will Be Included In The Study 1. Symptoms In The Form Of Pain,Vomiting,Fever,Biliary Obstruction 2.Duration More Then Or Equal To 3 Weeks After An Attack Of Acute Pancreatitis With Or Without Infection 3.Size More Than Or Equal To 6cm In Diameter
Exclusion criteria
Exclusion criteria: 1. Patients with minimal fluid component in WON as seen in pre-intervention imaging (CT/MRI) 2. Patients who had undergone any form of intervention previously 3. Patients with WON located away from the stomach/duodenum 4.Patients with ASA grade III or more 5.Patients unfit for general anesthesia 6.Uncontrolled bleeding disorders 7.Patients not willing to be part of the study 8.Arterial pseudoaneurysm 9.Patient with obstructive jaundice with bilirubin more than or equal to 5mg/dl
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Primary Outcomes Will Be A Composite Of The Following Parameters :New Onset Organ Failure, Complications Such As Enteral Or Pancreatic- Cutaneous Fistula,Bleeding, Visceral perforation Requiring Interventions , Need For Additional Per Cutaneous Drainage And Mortality Following InterventionTimepoint: 3 Months After Intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢Success Defined As Resolution Of WON By The Intended Modality At 3 Months â?¢Duration Of Hospital Stay. â?¢Recurrence Rates During A Follow Up Of 6 Months. â?¢Need Of Other Mode Of Drainage i.e. Laparoscopic Or Open Surgery In Endoscopic Group And Open Surgery Or Endoscopic Procedure In The Laparoscopic Group. â?¢Need For Additional Percutaneous Drainage â?¢Quality Of Life Index â?¢Cost- effectiveness Timepoint: Success By Intended Modality At 3 Months Recurrence Rated During Follow Up Of 6 Months Need Of Additional Percutaneous Drainage Or Other Mode Of Drainage At 6 Months | — |
Countries
India
Contacts
Public ContactDr Saharsh Ambade
All India Institute of Medical Sciences
Outcome results
None listed