Prospective Snapshot Audit of Distal Pancreatectomy in Spain
- Conditions
- Pancreas DiseasePancreatic FistulaSurgery--Complications
- Interventions
- Procedure: Distal pancreatectomy
- Registration Number
- NCT04900012
- Lead Sponsor
- Hospital General Universitario de Alicante
- Brief Summary
Distal pancreatectomy is the surgical technique performed to treat many pancreatic diseases located in neck and tail of the pancreas. Laparoscopic approach is the gold standard but in many centres the percentage of laparoscopic approach is still low. This technique has low mortality but 30% morbidity mostly related to pancreatic fistula. Some new devices (linear stapler, energy devices and patches) seem to decrease pancreatic fistula but there is not evidence based medicine that confirm the results published usually in unicentric studies.
- Detailed Description
Snapshot observational study including most of the Spanish pancreatic units that perform distal pancreatectomy. One year consecutive cases.
Main objectives.
1. percentage of laparoscopic approach in Spain
2. Morbidity at 90 days measured by CCI and Clavien Dindo
3. Percentage of pancreatic fistula
4. Impact of new device to decrease pancreatic fistula
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 500
-All distal pancreatectomies performed in involved Units
- No sign of informed consent for entering in the study
- Emergency procedures
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Distal pancreatectomy Distal pancreatectomy All cases operated on performing distal pancreatectomy in involved Units
- Primary Outcome Measures
Name Time Method Morbidity at 90 days 90 days Morbidity measured with CCI and Clavien at 90 days
Laparoscopic approach 1 year Laparoscopic or laparotomy approach
- Secondary Outcome Measures
Name Time Method Pancreatic fistula 90 days Percentage of pancreatic fistula