Pancreatic Lesions Located at Body or Tail.
Conditions
Keywords
distal pancreatectomy, laparoscopy, learning curve
Brief summary
Laparoscopic distal pancreatectomy (LDP) for benign and borderline pancreatic lesions has recently becoming the treatment of choice in experienced centres. No data have been published about learning curve so far. The purpose of this study was to identify the learning curve period for performing LDP.
Detailed description
Between March 2009 and August 2010 all patients with lesion of body or tail of pancreas were assessed for eligibility for LDP. Exclusion criteria were: major vessels contact in cancer patients, severe organ dysfunction, BMI \> 35, and refusing laparoscopic approach. All laparoscopic procedures were carried out by the same surgical team with large experience in open pancreatic surgery. All patients were treated according to an early recovery after surgery protocol. Primary endpoint was conversion rate. Secondary endpoints were operation time, operative blood loss, postoperative morbidity, and length of stay.
Interventions
PROCEDURELaparoscopy
Laparoscopic distal pancreatectomy
Sponsors
Università Vita-Salute San Raffaele
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* pancreatic lesion located at body or tail
Exclusion criteria
* major vessels infiltration * severe organ dysfunction * refusing laparoscopic approach
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Conversion to open surgery | during surgery; 3 to 5 hours from the start of the procedure |
Secondary
| Measure | Time frame |
|---|---|
| Operative Time | during surgery; 3 to 5 hours from the start of the procedure |
| Blood loss | during surgery; 3 to 5 hours from the start of the procedure |
| Length of Hospital Stay | Postoperative. From 0 to 30 days after discharge. |
Countries
Italy
Outcome results
None listed