Whipple Procedure
Conditions
Keywords
Whipple procedure, pancreatic carcinoma, biliary stenting,
Brief summary
The study was conducted in tertiary care hospital of Lahore. Patient undergoing Whipple procedure were studied by compiling demographic details of the patients, common presenting symptoms, various indications for Whipple's procedure, the cofactors which affect the procedures outcome and morbidity and mortality of the patients.
Detailed description
This study was performed by collecting data through predesigned questionnaire about patients undergoing Whipple's procedure from operation theatres and medical record section. Those patients, whose tumor was unresectable and undergone palliative surgical procedures were excluded from the study.
Interventions
PROCEDUREWhipple Procedure
Patients underwent Whipple procedure for pancreatic tumors. The procedure commenced with rooftop incision. then layers of abdomen dissected to reach the peritoneum. Then Duodenum dissected out along with pancreas and common bile duct. After rescetion of these structures the anatomy of the tract restored with three anastomosis namely pancreaticojejunostomy, gastrojejunostomy and choledochojejunostomy/hepaticojejunostomy.
Sponsors
Services Hospital, Lahore
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Patients undergoing Whipple procedure due to pancreatic tumor were included in the study
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* patients of both sexes with age ranging from 20 years to 70 years * patients with pancreatic tumors * patients with adequate cardiorespiratory reserves to be fit for prolong general anesthesia
Exclusion criteria
* unresectable tumors * unfit for surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients developing pancreatic fistula | 4 weeks | Percentage of patients developing pancreatic fistula (pancreatic juice collected in drain rich in amylase) after Whipple procedure Enteric leak postoperative complications like pancreatic fistula, anastomotic leakage, hemorrhage, wound infection,mortality |
| Percentage of patients developing hemorrhage | 2 weeks | Percentage of patients developing hemorrhage after Whipple procedure |
| Percentage of patients developing wound infection | 4 weeks | Percentage of patients developing wound infection after Whipple procedure |
| Mortality rate | 6 weeks | Mortality of patients undergoing Whipple surgery |
Countries
Pakistan
Outcome results
None listed