Complications of Surgical and Medical Care: General Terms, Postoperative Fistula
Conditions
Keywords
Postoperative pancreatic fistula(POPF);, Postpancreatectomy hemorrhage(PPH);, Delayed gastric emptying (DGE);, Bile leakage after pancreatic surgery;, Anastomotic leakage
Brief summary
Postoperative pancreatic fistula (POPF) and other surgical complications are common after pancreatoduodenectomy (PD) and POPF is a major complication. The drainage of pancreatic duct is important and a stent is usually placed in the operation, but it is still controversial whether the stent drainage is internal or external.
Detailed description
The current study is to compare the rate of Postoperative pancreatic fistula(POPF) and other surgical complications after pancreatoduodenectomy (PD).
Interventions
the Intervention name is: Internal Drainage of Pancreatic Duct after pancreatomy, a stent was placed in the pancreatic duct, external drainage of the stent is defined as control group(the stent will be tans-abdomen and as a drainage of pancreatic fluid), and internal drainage of the stent is defined as interventional(or experimental) group, with the stent very short(2cm) and placed in jejunum.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age more than 18 years. * Received pancreatoduodenectomy. * Informed consent has been signed.
Exclusion criteria
* Age less than 18 years * Emergency surgery * Past history of pancreatic surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the rate of Postoperative pancreatic fistula within 2 weeks after operation | within 2 weeks after operation | Postoperative pancreatic fistula (POPF) is defined as a drain output of any measurable volume of fluid on or after postoperative day 3 with an amylase content greater than 3 times the serum amylase activity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the rate of postoperative Surgical Complications | 2 weeks after operation | the rate of Postpancreatectomy hemorrhage(PPH);Delayed gastric emptying (DGE); Bile leakage after pancreatic surgery;Anastomotic leakage |
Countries
China