Diseases in the pancreatic head region
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Patients judged to have a normal pancreas among those scheduled for pancreaticoduodenectomy. 2) The thickness of the pancreatic parenchyma can be cut with an automatic suturer. 3) ECOG Performance Status (PS) is 0-1. 4) Age over 20 years old. 5) The functions of major organs (bone marrow, heart, liver, kidney, lung, etc.) are maintained. 6) Has sufficient judgment to understand the content of the research, and has obtained written informed consent from the individual.
Exclusion criteria
Exclusion criteria: 1) Patients with severe ischemic heart disease 2) Patients with cirrhosis or active hepatitis 3) Patients with dyspnea requiring oxygen administration due to interstitial pneumonia or pulmonary fibrosis 4) Patients undergoing dialysis for chronic renal failure 5) Cases requiring combined resection of surrounding organs 6) Patients considered to require arterial reconstruction of the superior mesenteric artery, common hepatic artery, celiac artery, etc. 7) Active double cancer that may affect adverse events or overall survival 8) Long-term oral steroid use that may affect adverse events 9) Patients who are complicated by psychosis or psychiatric symptoms and judged to be difficult to participate in the study 10) History of gastrectomy, colectomy or rectal resection 11) Patients who cannot use both iodine-based drugs and gadonium-based drugs due to severe drug allergies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the rate of postoperative pancreatic fistula (ISGPF; GradeB or C) | — |
Countries
Japan
Contacts
Wakayama medical university 2nd department of surgery