NCT04704882

A Modified Omental Patch Work Decreases Pancreatic Fistula After Lpd

A Modified Omental Patch Work Decreases Pancreatic Fistula After Laparoscopic Pancreaticoduodenectomy

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 162 (estimated)
• Sponsor: Zhejiang Provincial People's Hospital · Academic / Other
• Sex: All
• Age: 18 Years – 90 Years
• Healthy volunteers: Not accepted

Summary

Pancreaticoduodenecotmy(PD) is considered as the standard procedure for peri-amplullary or pancreatic head tumors. Laparoscopic pancreaticoduodenctomy(LPD) has been reported with minimal invasive advantages, such as small incision, less blood loss, less pain, et al. Further, some trials showed LPD got less morbidity and shorter length of stay. Pancreatic fistula is the major complication for pancreaticodupdenectomy and associated with numerous serious complications, suffering reoperation or sometimes death. The reported rate was 10% to 55%. A lot of modified procedure have been proposed to reduce pancreatic fistula. Omental flaps around anastomosis have been used to prevent post pancreaticoduodenectomy fistula or hemorrhage. However, the outcomes are controversy. A modified omental patch work has been used during LPD and the initial outcomes are good. This is a pilot study to evaluate the function of the modified omental patch work on decreasing the pancreatic fistula.

Conditions

• Omental Patch
• Laparoscopic Pancreaticoduodenectomy
• Pancreatic Fistula

Interventions

Type	Name	Description
OTHER	omental patchwork	the omental flaps were sewn to lesser omentum and hepatorenal ligament to cover all the vessels

Timeline

• Start date: 2021-01-01
• Primary completion: 2022-05-31
• Completion: 2022-05-31
• First posted: 2021-01-12
• Last updated: 2021-12-08

Locations

1 site across 1 country: China