Pancreatic Neoplasm of Uncertain Behavior Head
Conditions
Keywords
Textbook outcome, Risk factors, Endoscopic nasobiliary drainage, Total pancreatic head resection, Duodenum-preserving, Laparoscopic
Brief summary
This is a single, retrospective, observational study to investigate the risk factors for achieving textbook outcome after laparoscopic duodenum-preserving total pancreatic head resection.
Detailed description
Increasing numbers of benign or low-grade malignant neoplasms at the head of pancreas are being diagnosed due to computed tomography (CT), magnetic resonance imaging (MRI) and endoscopic ultrasonography (EUS). Laparoscopic duodenum-preserving total pancreatic head resection (LDPPHR-t) has been accepted as a valid alternative treatment for benign and low-grade malignant neoplasms at the head of the pancreas. The evaluation of quality of LDPPHR-t is important for surgeons to improve surgical quality. Currently, the evaluation of surgical quality mainly depends on some single outcome indicators, such as morbidity, mortality, readmission rate, or hospital stay. These single outcome indicators are difficult to accurately reflect the overall surgical quality and the composite outcome measures may be better than single outcome indicators. Textbook outcome (TO) is such a composite concept and is realized when all the requirements after operation are achieved according to the all or none principle. TO reflects the ideal surgical outcome and is a multidimensional measure for surgical quality assurance. However, the risk factors for achieving TO after LDPPHR-t is unknown and no relevant articles have been reported so far. The objective of study was to identify the risk factors for achieving TO after LDPPHR-t.
Interventions
OTHERNo intervention
This is an observational study without any intervention
Sponsors
Tongji Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Inclusion criteria
1. Patients underwent laparoscopic duodenum-preserving total pancreatic head resection. 2. Aged 18 to 75 years old.
Exclusion criteria
1. Peritoneal seeding or metastasis to distant sites. 2. Incomplete clinical data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative complications | up to 90 days | The postoperative complications were graded into mild complications and severe complications according to the Clavien-Dindo classification of surgical complications, including postpancreatectomy hemorrhage, postoperative pancreatic fistula , and bile leakage. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Operation time | Intraoperative | Operation time defined as the time from skin incision or trocar placement to complete skin closure |
| Intraoperative blood loss | Intraoperative | Intraoperative blood loss recorded by the anesthetist using a vacuum system |
| Readmission | up to 30 days | Readmission defined as any readmission within 30 days after discharge |
Countries
China
Outcome results
None listed