Benefit of R-Y Reconstruction After Pancreaticoduodenectomy
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- the incidence of DGE
研究概览
简要总结
One of the most common complications of pancreaticoduodenectomy (PD) is delayed gastric emptying (DGE), otherwise known as "gastroparesis," which is not fatal but results in prolonged hospital stay and increased hospital costs. Delayed gastric emptying is defined as nasogastric decompression after postoperative day (POD) 10 or a failure to tolerate a regular diet after POD 14. The incidence of DGE has been reported to range from 5% to 72%.
详细描述
We hypothesized that the hand-sewn, two-layered, or continuous suture, could induce anastomotic edema to indeed the afferent peristalsis, which is one of the causes of DGE.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •These patients were to undergo elective pancreatic head resection for the treatment of periampullary mass
排除标准
- •A body weight loss greater than 10% during the six months prior to surgery
- •The presence of distant metastases
- •Seriously impaired function of vital organs due to respiratory, renal or heart disease
研究组 & 干预措施
conventional reconstruction
the anastomosis was performed by B-II
R-Y reconstruction
the reconstruction was performed by R-Y anastomosis
干预措施: R-Y reconstruction (Procedure)
结局指标
主要结局
the incidence of DGE
时间窗: 3-6 months
次要结局
- the incidence of other complication associated with reconstruction(3-6 months)