Periampullary Carcinoma Resectable
Conditions
Keywords
pancreaticoduodenectomy, omental flaps, Laparoscopic whipple operation
Brief summary
Following pancreaticoduodenectomy, omental flaps around the pancreatic anastomosis and adhesive glue can lower the risk of pancreatic fistula, post-pancreatectomy bleeding, and delayed gastric emptying. The overall morbidity following pancreaticoduodenectomy can be decreased with this straightforward and efficient treatment.
Interventions
PROCEDUREPancreaticojejunostomy without omental patch
A laparoscopic pancreaticoduodenectomy with pylorus preservation was performed on each patient. A pancreatojejunostomy was created and not fixed with an omental patch or glue.
PROCEDUREPancreaticojejunostomy with omental patch and glue
A laparoscopic pancreaticoduodenectomy was performed on each patient. A pancreaticojejunostomy was fixed with glue to secure the anastomosis. The greater omentum was separated longitudinally over an avascular zone, and one or two omental branches of the gastroepiploic arteries were preserved using pedicle omental flaps. The omentum was rolled up and secured with glue.
Sponsors
Theodor Bilharz Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
\- Resectable tumors of the periampullary region
Exclusion criteria
* Pancreatic or duodenal tumors * Irresectability criteria (such as metastases, ascites, or arterial vascular invasion)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The rate of pancreatic fistula after pancreaticoduodenectomy | 4 weeks postoperative |
Countries
Egypt
Outcome results
None listed