C25.1 C25.2 C25.3 C25.4 C25.7 K86.0 K86.1 D13.6
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Planned distal pancreatectomy with or without splenectomy for any indication - Age = 18 years - Ability of subject to understand character and individual consequences of the clinical trial - Written informed consent
Exclusion criteria
Exclusion criteria: - Patients scheduled for a pancreatic resection other than distal pancreatectomy - Distant organ metastases or tumour infiltration of the superior mesenteric vein, superior mesenteric artery or hepatic artery - Infiltration of adjacent organs - CA 19-9 >1000 IU/ml - ASA >3 - Prior major open abdominal surgery - Participation in another intervention-trial with interference of intervention and outcome of this study - Lack of compliance and lack of written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative mortality and morbidity assessed as comprehensive complication index (CCI) 3 months after intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Operation time - Intraoperative blood loss - Conversion rate (minimal-invasive group) - Days on ICU - Pain (NRS) - Mobility - Length of hospital stay - Time to functional recovery - Pancreas-associated morbidity (pancreatic fistula, delayed gastric emptying, postoperative hemorrhage) - Surgical site infection - Re-intervention rate - Time to return to work - Quality of Life (EORTC QLQ-C30 and PAN 28 (CP)) - Incisional hernia rate - Survival rate after 12 and 24 months - R0 / R1 resection rates - Lymph node count in oncological group - DRG case cost | — |
Countries
Germany, Slovenia, United Kingdom
Contacts
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg