Pancreas Disease, Pancreatic Fistula, Surgery--Complications
Conditions
Brief summary
Distal pancreatectomy is the surgical technique performed to treat many pancreatic diseases located in neck and tail of the pancreas. Laparoscopic approach is the gold standard but in many centres the percentage of laparoscopic approach is still low. This technique has low mortality but 30% morbidity mostly related to pancreatic fistula. Some new devices (linear stapler, energy devices and patches) seem to decrease pancreatic fistula but there is not evidence based medicine that confirm the results published usually in unicentric studies.
Detailed description
Snapshot observational study including most of the Spanish pancreatic units that perform distal pancreatectomy. One year consecutive cases. Main objectives. 1. percentage of laparoscopic approach in Spain 2. Morbidity at 90 days measured by CCI and Clavien Dindo 3. Percentage of pancreatic fistula 4. Impact of new device to decrease pancreatic fistula
Interventions
PROCEDUREDistal pancreatectomy
We are going to collect all cases
Sponsors
Hospital General Universitario de Alicante
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
-All distal pancreatectomies performed in involved Units
Exclusion criteria
* No sign of informed consent for entering in the study * Emergency procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Morbidity at 90 days | 90 days | Morbidity measured with CCI and Clavien at 90 days |
| Laparoscopic approach | 1 year | Laparoscopic or laparotomy approach |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pancreatic fistula | 90 days | Percentage of pancreatic fistula |
Outcome results
None listed