Postoperative pancreatic fistula (POPF) remains one of the most harmful complications after pancreatic resection. Some studies have indicated that endoscopic pancreatic stenting was effective in the treatment of POPF. However, the results of prospective RCTs for the prophylactic effect of pancreatic stent insertion against POPF were controversial. This single center prospective randomized trial was designed to compare the outcome after segmental pancreatectomy with prophylactic drainage stent versus no stent.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
38
Prophylactic pancreatic stent before segmental pancreatic surgery
Peking Union Medical College Hospital
Beijing, Beijing Municipality, China
RECRUITINGPostoperative pancreatic fistula
Grade B and C
Time frame: from postoperative day 3 to 30
Severity of pancreatic fistula
Grade B POPF requires changes in clinical management, such as persistent drainage, partial or total parenteral nutrition, antibiotics, enteral nutrition, somatostatin analogs, and/or minimal invasive drainage. Grade C POPF requires major changes in management, such as admission to an intensive care unit, reoperation, and/or an extended hospital stay.
Time frame: from postoperative day 3 to 30
Length of stay
Length of hospital stay
Time frame: from postoperative day 1 to discharge
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