Registrar Performance in Laparoscopic Distal Pancreatectomy and Its Effect on Postoperative Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 71
- 试验地点
- 1
- 主要终点
- open conversion rate
研究概览
简要总结
This study aimed to determine whether registrar involvement in minimally invasive distal pancreatectomy (MIDP) was associated with adverse outcomes.
详细描述
From January 2009 to March 2020, data of all consecutive patients requiring distal pancreatectomy in our public tertiary hospital were prospectively collected and retrospectively analyzed.
Registrars were progressively involved for MIDP since 2009 and their experience was: < 5 open pancreatic resections, < 5 MIDP and at least 30 advanced minimally invasive gastrointestinal resections.
Outcome of patients who underwent either distal pancreatectomy by the consultant or registrars were compared.
Our primary outcome was the conversion rate. The secondary outcomes were 90-days postoperative outcomes including CR-POPF defined and classified according to the 2016 ISGPF definition.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
open conversion rate
时间窗: 1 day
Necessity to swith from minimally invasive approach to open approach during laparoscopy
次要结局
- readmission rate(90 days postoperative)
- Duration of surgery(1 day)
- Intraoperative bloodloss(1 day)
- lenght of hospital stay(90 days postoperative)
- reoperation rate(90 days postoperative)
- Intraoperative transfusion(1 day)
- severe complications Clavien Dindo>3(90 days postoperative)
- postoperative complications(90 days postoperative)
- clinically relevant postoperative fistula(90 days postoperative)