K86.8
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Planned distal pancreatectomy for any indication including minimally invasive and open surgery and including multivisceral resection. 2. Age = 18 years 3. Ability of subject to understand character and individual consequences of the clinical trial. 4.Written informed consent
Exclusion criteria
Exclusion criteria: 1. American Society of Anesthesiologists (ASA) Score > 3 2. Pregnancy or lactation 3. Allergy or known intolerability to bromothymol blue or potato starch 4. Participation in another interventional trial with interference of intervention or outcome of this study 5. Any condition which could result in an undue risk for the patient in the opinion of the investigator 6. Expected lack of compliance or language problems
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of clinically relevant grade B and C postoperative pancreatic fistula within 30 days after the index operation as defined by updated 2016 ISGPF consensus guidelines. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Rate of biochemical leak (former pancreatic fistula grade A) within 30 days after the index operation as defined by updated 2016 ISGPF consensus guidelines. - SmartPAN®-indicator reaction: characterized by number of leaks, dimension of leaks and color intensity documented by intraoperative color photography of the pancreatic remnant in intervention and control group. The photo must contain a size scale. - Frequencies of serious intraoperative complications and major postoperative complications (Clavien-Dindo grade III to V) within 30 days after the index operation including information on potential relation to usage of the trial device. - Rate of non-surgical re-interventions within 30 days from index operation. - Rate of re-operations within 30 days from index operation. | — |
Countries
Germany, Netherlands
Contacts
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg