Pancreatic Surgery
Conditions
Brief summary
Assess the prevalence of minimally invasive pancreatic surgery in the country and its outcomes
Detailed description
Since 1994, when the first pancreatectomy surgeries, distal and proximal, conducted minimally invasively, were published, efforts have been made to understand the value of this approach in the context of a surgery as complex and burdened with specific complications as pancreatic surgery. The adoption of such an approach with regard to pancreatic surgery has been less rapid and parceled out than in other surgical fields and not supported by a large body of scientific publications. However, worldwide, referral centers for pancreatic surgery routinely use the minimally invasive approach in selected cases, and its diffusion has recently shown a marked increase. Even in Italy, a recent survey promoted by some of the major surgical societies showed a fair diffusion of the use of the minimally invasive approach in pancreatic surgery but with extremely variable ways and uses in the different territorial realities with evident and potentially risky paradoxes. Monitoring the diffusion of minimally invasive pancreatic surgery, the methods of application and the results of this approach has become of primary importance and for this reason the foundation of a national registry has been proposed by several scientific surgical societies. This study aims to investigate what is the real diffusion of minimally invasive techniques in Italy and what postoperative outcomes the adoption of this approach generates.
Interventions
PROCEDUREMinimally invasive pancreatic surgery
Minimally invasive pancreatic surgery
Sponsors
Associazione Italiana per lo Studio del Pancreas
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Age \> 18 years; * Underwent minimally invasive pancreatic surgery
Exclusion criteria
* Pregnant woman * Minor or unable to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative short-term outcomes | 90 days | any complication graded according to Clavien-Dindo classification |
| Long-term oncological outcomes | 2 years | Disease recurrence or disease related death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of cases that after a minimally invasive approach had to be converted to and open approach | Intraoperative | Intraoperative conversion to open surgery for any reason |
| Surgeon learning curve | Intraoperative | Variation of surgical time according to the registered case-load as operating surgeon and first assistant |
Countries
Italy
Contacts
Primary ContactAlessandro Zerbi, Prof.
Outcome results
None listed