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Italian Registry of Minimally Invasive Pancreatic Surgery

Recruiting
Conditions
Pancreatic Surgery
Registration Number
NCT06381362
Lead Sponsor
Associazione Italiana per lo Studio del Pancreas
Brief Summary

Assess the prevalence of minimally invasive pancreatic surgery in the country and its outcomes

Detailed Description

Since 1994, when the first pancreatectomy surgeries, distal and proximal, conducted minimally invasively, were published, efforts have been made to understand the value of this approach in the context of a surgery as complex and burdened with specific complications as pancreatic surgery. The adoption of such an approach with regard to pancreatic surgery has been less rapid and parceled out than in other surgical fields and not supported by a large body of scientific publications. However, worldwide, referral centers for pancreatic surgery routinely use the minimally invasive approach in selected cases, and its diffusion has recently shown a marked increase. Even in Italy, a recent survey promoted by some of the major surgical societies showed a fair diffusion of the use of the minimally invasive approach in pancreatic surgery but with extremely variable ways and uses in the different territorial realities with evident and potentially risky paradoxes. Monitoring the diffusion of minimally invasive pancreatic surgery, the methods of application and the results of this approach has become of primary importance and for this reason the foundation of a national registry has been proposed by several scientific surgical societies.

This study aims to investigate what is the real diffusion of minimally invasive techniques in Italy and what postoperative outcomes the adoption of this approach generates.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
2300
Inclusion Criteria
  • Age > 18 years;
  • Underwent minimally invasive pancreatic surgery
Exclusion Criteria
  • Pregnant woman
  • Minor or unable to give informed consent

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Postoperative short-term outcomes90 days

any complication graded according to Clavien-Dindo classification

Long-term oncological outcomes2 years

Disease recurrence or disease related death

Secondary Outcome Measures
NameTimeMethod
Rate of cases that after a minimally invasive approach had to be converted to and open approachIntraoperative

Intraoperative conversion to open surgery for any reason

Surgeon learning curveIntraoperative

Variation of conversion rate according to the registered case-load as operating surgeon and first assistant

Trial Locations

Locations (1)

Giovanni Capretti

🇮🇹

Milan, Italy

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