Learning Curve for Laparoscopic Distal Pancreatectomy in a High-volume Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Conversion to open surgery
研究概览
简要总结
Laparoscopic distal pancreatectomy (LDP) for benign and borderline pancreatic lesions has recently becoming the treatment of choice in experienced centres. No data have been published about learning curve so far. The purpose of this study was to identify the learning curve period for performing LDP.
详细描述
Between March 2009 and August 2010 all patients with lesion of body or tail of pancreas were assessed for eligibility for LDP. Exclusion criteria were: major vessels contact in cancer patients, severe organ dysfunction, BMI > 35, and refusing laparoscopic approach. All laparoscopic procedures were carried out by the same surgical team with large experience in open pancreatic surgery. All patients were treated according to an early recovery after surgery protocol. Primary endpoint was conversion rate. Secondary endpoints were operation time, operative blood loss, postoperative morbidity, and length of stay.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •pancreatic lesion located at body or tail
排除标准
- •major vessels infiltration
- •severe organ dysfunction
- •refusing laparoscopic approach
结局指标
主要结局
Conversion to open surgery
时间窗: during surgery; 3 to 5 hours from the start of the procedure
次要结局
- Operative Time(during surgery; 3 to 5 hours from the start of the procedure)
- Blood loss(during surgery; 3 to 5 hours from the start of the procedure)
- Length of Hospital Stay(Postoperative. From 0 to 30 days after discharge.)