Patients with soft pancreas were scheduled to undergo pancreaticoduodenectomy
Conditions
Interventions
The pancreas was transected using a linear stapler.
The pancreas was transected using a energy device.
Sponsors
Wakayama medical university
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Patients judged to have soft pancreas among those scheduled for pancreaticoduodenectomy. 2) The thickness of the pancreatic parenchyma can be cut with surgical stapler. 3) ECOG Performance Status (PS) is 0-1. 4) Age 20 years or older. 5) The functions of major organs (bone marrow, heart, liver, kidneys, lungs, etc.) are maintained. 6) Sufficient judgment to understand the content of the research and providing written informed consent.
Exclusion criteria
Exclusion criteria: 1) Serious ischemic heart disease. 2) Complication of liver cirrhosis or active hepatitis. 3) Dyspnea requiring oxygen administration due to interstitial pneumonia or pulmonary fibrosis. 4) Undergoing dialysis for chronic renal failure. 5) Requiring combined resection of surrounding organs. 6) Considered to require arterial reconstruction of the superior mesenteric artery, common hepatic artery, celiac artery, etc. 7) Active double cancers that may affect adverse events or overall survival. 8) Long-term oral steroid use that may cause adverse events. 9) Psychosis or psychiatric symptoms judged to potentially cause difficulty in participation in the study. 10) History of abdominal operation including gastrectomy, colectomy, rectal resection, hepatectomy, but excluding cholecystectomy. 11) Inability to use both iodine-based drugs and gadolinium-based drugs due to serious drug allergies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of pancreatic fistula ISGPF grade B or C | — |
Countries
Japan
Contacts
Public ContactManabu Kawai
Wakayama medical university 2nd department of surgery
Outcome results
None listed