Diseases in the pancreatic head region
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients judged to have soft pancreas among those scheduled for pancreaticoduodenectomy. 2) The diameter of the main pancreatic duct at the planned pancreatic resection site is 5 mm or less on preoperative CT images. 3) ECOG-PS is 0-1. 4) Age 18 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) Any other person who the principal investigator or researcher deems inappropriate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the rate of postoperative pancreatic fistula (ISGPF; GradeB or C) | — |
Countries
Japan
Contacts
Tokai University Department of Gastrointestinal Surgery