periampullary tumor extrahepatic biliary obstruction Whipple pancreaticoduodenectomy post operative pancreatic fistula pancreaticojejunostomy duct to mucosa technique
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: Consecutive patients who underwent Whipple pancreaticoduodenectomy by the author between March 2016 to February 2023 in the Department of Surgical Gastroenterology of Institute of Post Graduate Medical education and Research, Kolkata, India were included in the current study.
Exclusion criteria
Exclusion criteria: Whipple pancreaticoduodenectomy patients with suboptimal information were excluded from analysis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinically relevant postoperative pancreatic fistula At least 3 months post surgery follow up To determine the factors responsible for development of clinically relevant postoperative pancreatic fistula with spoke wheel pattern single layer pancreaticojejunostomy | — |
Secondary
| Measure | Time frame |
|---|---|
| delayed gastric emptying, postpancreatectomy haemorrhage, surgical site infection, re operation, re admission rate, duration of hospital stay, major complication rate, and 90 day operative mortality At least 3 months post surgery follow up Multivariate analysis to look for factors responsible for development of clinically relevant postoperative pancreatic fistula | — |
Countries
India
Contacts
Institute of Post Graduate Medical Education & Research, Kolkata, India