Children in Pancreatic Surgery: Indications, Procedures and Outcomes (ChiPS)

Medizinische Hochschule Brandenburg Theodor Fontane

Status: Completed

Conditions: Pancreatic Surgery; Children

Treatments: Procedure: Incision of the pancreas; Procedure: Local excision destruction pancreas; Procedure: Anastomosis of the pancreatic duct; Procedure: Segmental pancreatic resection; Procedure: Marsupialization of a pancreatic cyst; Procedure: Distal pancreatectomy; Procedure: Pancreatoduodenectomy; Procedure: Total pancreatectomy; Procedure: Internal drainage of the pancreas

Study type: Observational

Funder types: Other

Identifiers

NCT07293104

ChiPS

Details and patient eligibility

About

Pediatric patients differ in a variety of properties from adult populations, but comprehensive multicenter or population-based data is missing for pancreatic surgery. This study aimed to evaluate indications, complications, and mortality in pediatric pancreatic surgery.

Full description

This retrospective observational population-based cohort study analzes the German Diagnostic-Related Group database and included all children with pancreatic procedures between 2010 and 2023. The primary outcomes are mortality rates, complication rates, and sex differences related to surgical indication and pancreatic procedure. Descriptive epidemiological and multivariable regression analyses are performed to identify risk factors of mortality and occurrence of perioperative complications.

Enrollment: 761 patients

Sex: All

Ages: Under 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• stationary hospital admission
• pancreatic surgical procedure

Exclusion criteria

• unknown sex or age
• admission for pancreas tranplantation

Trial design

761 participants in 5 patient groups

Pancreatic tumor

Treatment:

Procedure: Internal drainage of the pancreas

Procedure: Total pancreatectomy

Procedure: Pancreatoduodenectomy

Procedure: Distal pancreatectomy

Procedure: Segmental pancreatic resection

Procedure: Marsupialization of a pancreatic cyst

Procedure: Local excision destruction pancreas

Procedure: Anastomosis of the pancreatic duct

Procedure: Incision of the pancreas

Chronic pancreatitis

Treatment:

Procedure: Internal drainage of the pancreas

Procedure: Total pancreatectomy

Procedure: Pancreatoduodenectomy

Procedure: Distal pancreatectomy

Procedure: Segmental pancreatic resection

Procedure: Marsupialization of a pancreatic cyst

Procedure: Local excision destruction pancreas

Procedure: Anastomosis of the pancreatic duct

Procedure: Incision of the pancreas

Trauma

Treatment:

Procedure: Internal drainage of the pancreas

Procedure: Total pancreatectomy

Procedure: Pancreatoduodenectomy

Procedure: Distal pancreatectomy

Procedure: Segmental pancreatic resection

Procedure: Marsupialization of a pancreatic cyst

Procedure: Local excision destruction pancreas

Procedure: Anastomosis of the pancreatic duct

Procedure: Incision of the pancreas

Extra-pancreatic neoplasm

Treatment:

Procedure: Internal drainage of the pancreas

Procedure: Total pancreatectomy

Procedure: Pancreatoduodenectomy

Procedure: Distal pancreatectomy

Procedure: Segmental pancreatic resection

Procedure: Marsupialization of a pancreatic cyst

Procedure: Local excision destruction pancreas

Procedure: Anastomosis of the pancreatic duct

Procedure: Incision of the pancreas

Other diseases

Treatment:

Procedure: Internal drainage of the pancreas

Procedure: Total pancreatectomy

Procedure: Pancreatoduodenectomy

Procedure: Distal pancreatectomy

Procedure: Segmental pancreatic resection

Procedure: Marsupialization of a pancreatic cyst

Procedure: Local excision destruction pancreas

Procedure: Anastomosis of the pancreatic duct

Procedure: Incision of the pancreas