Liver Diseases
Conditions
Keywords
surgical, site, infection
Brief summary
This study evaluated that strict control of perioperative blood glucose following hepatic resection by using an artificial pancreas would improve postoperative surgical site infection.
Detailed description
This study recruited 70 patients undergoing elective hepatic resection for liver diseases. Perioperative blood glucose concentration was continuously monitored using an artificial pancreas system. We prospectively divided patients into two groups: one for whom glucose levels were controlled using a manual injection of insulin according to the commonly used sliding scale and another that received programmed infusions of insulin determined by the control algorithm of the artificial pancreas.
Interventions
artificial pancreas
Sponsors
Study design
Eligibility
Inclusion criteria
* This study recruited 70 patients undergoing elective hepatic resection for liver diseases. Perioperative blood glucose concentration was continuously monitored using an artificial pancreas system.
Exclusion criteria
* weight loss greater than 10% during the previous 6 months, signs of distant metastasis, and respiratory, renal, or heart disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the incidence of surgical site infection | 30th postoperative day |
Secondary
| Measure | Time frame |
|---|---|
| the incidence of hypoglycemia and cost during the hospitalization | during the hospitalization |
Countries
Japan