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A Prospective, Multi-center Trial for Reinforced Staple During Distal Pancreatectomy


2014-10


2016-07


2016-07


120

Study Overview

A Prospective, Multi-center Trial for Reinforced Staple During Distal Pancreatectomy

The aim of this study is to evaluate if the Endo GIA Reinforced Reload with Tri-Staple Technology reduce incidence of pancreatic fistula (ISGPF grade B and C) after distal pancreatectomy by a prospective, multi-center trial.

Reducing the incidence of pancreatic fistula is the most important issue in pancreatectomy. There is no certain view on the pancreatic resection method to reduce pancreatic fistula in distal pancreatectomy.This study will be conducted to scientifically investigate the impact of Endo GIA Reinforced Reload with Tri-Staple Technology in distal pancreatectomy. The aim of this study is to evaluate if the Endo GIA Reinforced Reload with Tri-Staple Technology reduce incidence of pancreatic fistula (ISGPF grade B and C) after distal pancreatectomy by a prospective, multi-center trial.

  • Pancreatic Neoplasms
  • DEVICE: Endo GIA Reinforced Reload with Tri-Staple technology
  • DP-Study 1401

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2014-10-10  

N/A  

2016-07-20  

2014-10-16  

N/A  

2016-07-21  

2014-10-21  

N/A  

2016-07  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Reinforced staple

Endo GIA Reinforced Reload with Tri-Staple technology

DEVICE: Endo GIA Reinforced Reload with Tri-Staple technology

  • Device:Endo GIA Reinforced Reload with Tri-Staple technology
Primary Outcome MeasuresMeasure DescriptionTime Frame
Incidence of pancreatic fistula grade B/CNinety days after operation
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Incidence of pancreatic fistula defined by ISGPF classificationNinety days after operation
Incidence of pancreatic fistula grade C defined by ISGPF classificationNinety days after operation
Incidence of intraabdominal bleedingNinety days after operation
MorbidityNinety days after operation
MortalityNinety days after operation
Postoperative hospital stayNinety days after operation
Hemostasis condition of staple lineduring operation
Malformationof staple line Malformationof staple line Malformationof staple line Malformationof staple line Malformationof staple lineduring operation
Period of drain insertionNinety days after operation
Damage of pancreatic stumpduring operation
Frequency of additional suture of pancreatic stumpduring operation
Incidence of pancreatic fistula stratified based on thickness of pancreas parenchymaNinety days after operation

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
20 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. disease of pancreatic body and tail 2. PS (ECOG Performance Status Scale)0-1 3. Age: 20 years or older 4. distant metastases are not diagnosed preoperatively. Eligible for this clinical study when only distal pancreatectomy contributes to the favorable prognosis even if patients with pancreatic neuroendocrine cancer have the liver metastasis 5. Patients who can provide written informed consent
    Exclusion Criteria:
    1. Patients with severe ischemic cardiac disease 2. Patients with severe liver cirrhosis or active hepatitis 3. Patients with respiratory illness that requires oxygen administration 4. Patients with chronic renal failure requiring dialysis 5. Patients requiring other organ resection 6. Patients who are unfit for the study as determined by the attending physician

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: Hiroki Yamaue, M.D., Ph.D, Wakayama Medical University

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    • Kawai M, Hirono S, Okada KI, Satoi S, Yanagimoto H, Kon M, Murakami Y, Kondo N, Sho M, Akahori T, Toyama H, Fukumoto T, Fujii T, Matsumoto I, Eguchi H, Ikoma H, Takeda Y, Fujimoto J, Yamaue H. Reinforced staplers for distal pancreatectomy. Langenbecks Arch Surg. 2017 Dec;402(8):1197-1204. doi: 10.1007/s00423-017-1634-1. Epub 2017 Nov 4.