ENHANCED RECOVERY AFTER BILIARY TRACT SURGERY

Vitebsk State Medical University50 enrolled

Overview

The aim of the study is to improve the immediate results after reconstructive and restorative operations on the biliary tract by substantiating the management of the perioperative period on the principles of "enhanced recovery after surgery".

A prospective randomized study on the effect of fast-track surgery on the immediate postoperative results after various reconstructive and restorative operations on the bile ducts. In the Department of Surgical Hepatology and Transplantation, a prospective randomized study will include patients (about 50) with planned reconstructive and restorative operations on the bile ducts for malignant and benign diseases of the bile ducts.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Biliary Stricture Cholangiocarcinoma Cholangitis; Choledocholithiasis

Interventions

Enhanced recovery after biliary tract surgeryCOMBINATION_PRODUCT

Patients with malignant and benign diseases of the bile ducts, who have formed various types of anastomosis in two options for managing the postoperative period: traditional and based on the principles of enhanced recovery after surgery

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients with malignant diseases of the biliary tract (cholangiocarcinoma): 1.1. tumor resectability 1.2. absence: * distant metastases * carcinomatosis * perforation of the tumor and peritonitis * sprouting into adjacent organs and tissues (locally advanced cancer) * total adhesion process in the abdominal cavity (after previous operations). 1.3. Planned reconstructive surgery on the biliary tract. 2. Patients with benign biliary tract pathology. 2.1. Planned reconstructive or restorative surgery on the biliary tract for the following diseases: * choledocholithiasis * Mirizzi syndrome * cysts of the common bile duct * strictures of the common bile duct * injuries to the bile ducts * adenoma and stricture of the OBD Exclusion Criteria: 1. Scale ASA\> III (severe concomitant cardiovascular pathology). 2. Palliative reconstructive surgery. 3. Previously performed operations on the bile ducts (up to 1 month). 4. Cachexia.

Outcomes

Primary Outcomes

Reduction of bed-days

Improvement of basic health indicators, absence of complications, reduction of bed days

Time frame: 1 week

Central Contacts

Yury N Arlouski, MD

CONTACT

+375296374668 orl_doc@hotmail.com

Data from ClinicalTrials.gov

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