Liver disease, Pancreas disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Group 1: Hepatic resection Group 2: Pancreastoduodenectomy 2) Age ranged from 20 to 80 years old 3) Child-Pugh A or B in cirrhotic patients 4) Performance status 0-1 5) Preserved general condition; 1. WBC:3,000<=WBC<10,000 /microlitre 2. Neu:Neu>=1,500 /microlitre 3. Hb:Hb>=9.0 g/dL 4. Plt:Plt>=70,000 /microlitre 5. TB:TB<=1.5 mg/dL 6. AST:AST<=100 IU/L 7. ALT:ALT<=100 IU/L 8. Cr:Cr<=1.2 mg/dL 9. Alb:Alb>=2.8 g/dL 6) Provision of written informed consent
Exclusion criteria
Exclusion criteria: 1) Emergency cases 2) Group 1: Biliary reconstruction in hepatic resection Group 2: Concomitant hepatic resection in pancreatoduodenectomy 3) Active infection 4) Pregnancy 5) ASA physical status 3< 6) Preoperative chemotherapy, radiotherapy, use of antibiotics within 2 weeks, use of immunosuppressive agent 7) Uncontrolled diabetes mellitus 8) Severe organ failure 9) Present stoma 10) Not eligible judged by doctor
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of surgical site infection occurrence | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Rate of surgical site infection occurrence by sites (superficial incision wound, deep incision wound, organ/cavity) 2) 1. Duration until healing of surgical site infection 2. Occurrence rate in pancreas leakage or bile leakage 3. Hospital stay after surgery | — |
Countries
Japan
Contacts
Kyushu University, Graduate School of Medical Sciences Department of Surgery and Science