Risk Factors for Achieving TO After LDPPHR-t

Tongji Hospital

Status: Completed

Conditions: Pancreatic Neoplasm of Uncertain Behavior Head

Treatments: Other: No intervention

Study type: Observational

Funder types: Other

Identifiers

NCT05569343

TJDBPS12

Details and patient eligibility

About

This is a single, retrospective, observational study to investigate the risk factors for achieving textbook outcome after laparoscopic duodenum-preserving total pancreatic head resection.

Full description

Increasing numbers of benign or low-grade malignant neoplasms at the head of pancreas are being diagnosed due to computed tomography (CT), magnetic resonance imaging (MRI) and endoscopic ultrasonography (EUS). Laparoscopic duodenum-preserving total pancreatic head resection (LDPPHR-t) has been accepted as a valid alternative treatment for benign and low-grade malignant neoplasms at the head of the pancreas. The evaluation of quality of LDPPHR-t is important for surgeons to improve surgical quality. Currently, the evaluation of surgical quality mainly depends on some single outcome indicators, such as morbidity, mortality, readmission rate, or hospital stay. These single outcome indicators are difficult to accurately reflect the overall surgical quality and the composite outcome measures may be better than single outcome indicators. Textbook outcome (TO) is such a composite concept and is realized when all the requirements after operation are achieved according to the "all or none" principle. TO reflects the ideal surgical outcome and is a multidimensional measure for surgical quality assurance. However, the risk factors for achieving TO after LDPPHR-t is unknown and no relevant articles have been reported so far. The objective of study was to identify the risk factors for achieving TO after LDPPHR-t.

Enrollment: 31 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients underwent laparoscopic duodenum-preserving total pancreatic head resection.
2. Aged 18 to 75 years old.

Exclusion criteria

1. Peritoneal seeding or metastasis to distant sites.
2. Incomplete clinical data.

Trial design

31 participants in 2 patient groups

Textbook outcome group

Description:

Achieving textbook outcome after laparoscopic duodenum-preserving total pancreatic head resection

Treatment:

Other: No intervention

Non-Textbook outcome group

Description:

Not achieving textbook outcome after laparoscopic duodenum-preserving total pancreatic head resection

Treatment:

Other: No intervention