Pancreaticoduodenecotmy(PD) is considered as the standard procedure for peri-amplullary or pancreatic head tumors. Laparoscopic pancreaticoduodenctomy(LPD) has been reported with minimal invasive advantages, such as small incision, less blood loss, less pain, et al. Further, some trials showed LPD got less morbidity and shorter length of stay. Pancreatic fistula is the major complication for pancreaticodupdenectomy and associated with numerous serious complications, suffering reoperation or sometimes death. The reported rate was 10% to 55%. A lot of modified procedure have been proposed to reduce pancreatic fistula. Omental flaps around anastomosis have been used to prevent post pancreaticoduodenectomy fistula or hemorrhage. However, the outcomes are controversy. A modified omental patch work has been used during LPD and the initial outcomes are good. This is a pilot study to evaluate the function of the modified omental patch work on decreasing the pancreatic fistula.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
162
the omental flaps were sewn to lesser omentum and hepatorenal ligament to cover all the vessels
Zhejiang Provincial People'S Hospital
Hangzhou, Zhejiang, China
RECRUITINGpancreatic fistula
Incidence of pancreatic fistula grade B/C defined by ISGPF classification
Time frame: 90 days
morbidity
Time frame: 90 days
Mortality
Time frame: 90 days
Postoperative hospital stay
Time frame: 90 days
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