The Whipple operation is a complex surgical procedure involving the removal of the head of the pancreas, bile duct, and a portion of the intestine (duodenum) that is performed for patients who have cancer or some other condition affecting this region of the body. The Whipple operation is associated with a significant complication rate. Previous studies have shown that in a broad range of surgical procedures, using a reduced amount of intravenous fluids along with a special type of fluid called hypertonic saline during and after the procedure can lower complication rates associated with the heart and lungs during recovery from surgery. The purpose of this study is to determine if using a reduced amount of intravenous fluids as well as hypertonic saline (a salt concentrated form of intravenous fluids) during the Whipple operation and in the immediate period after surgery can reduce complications.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
264
1cc/kg/hr of 3%NaCl + 9cc/kg/hr of lactated ringers solution
15cc/kg/hr for intraoperative fluids
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, United States
RECRUITINGAnastomotic Leak
Leak or defect of gastrointestinal anastomosis including but not limited to pancreaticojejunostomy
Time frame: 30 days
Delayed Gastric Emptying
Rate of delayed gastric emptying post procedure, prolonged initiation of enteral feeding
Time frame: 30 days
Myocardial Infarction
Time frame: 30 days
Pneumonia
Time frame: 30 days
Wound Infection
Time frame: 30 days
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