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Lead
Fundación para la Investigación del Hospital Clínico de Valencia
With
Instituto de Salud Carlos III
Background: Postoperative pancreatic fistula is currently the most frequent complications after duodenopancreatectomy. There are currently no RCT comparing two of the most frequently used method of pancreato-enteric anastomosis (invaginating pancreatogastric anastomosis versus Blumgart anastomosis)
Hypothesis: in patients with resectable pancreatic and periampullary tumors, performing a Blumgart (AB) anastomosis for pancreatoenteric reconstruction after duodenopancreatectomy decreases the rate of postoperative pancreatic fistula (PPF) compared to to pancreatogastric anastomosis.
Main goal: To comparatively evaluate the rate of PPF in patients with pancreatic and periampullary tumors undergoing cephalic duodenopancreatectomy after reconstruction with Blumgart anastomosis or pancreatogastric anastomosis.
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Patients over 18 years old.
Diagnosis of pancreatic and periampullary tumor pathology that requires pancreatoduodenectomy
Signature of informed consent by the patient or his legal representative
You may not be if
Patients in whom liver metastases or peritoneal carcinomatosis are detected during surgery.
Patients in whom tumor resection is ultimately not achieved due to intraoperative evidence that the tumor is locally advanced, unresectable.
Patients with macroscopic residual tumor (R2).
High risk patients with severe pathology (ASA IV) according to the American Association of Anesthetists.
Clareo Health | Pancreatic Anastomosis After Duodenopancreatectomy
