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Duct-to-mucosa Versus Invagination for Pancreaticojejunostomy


2012-01


2017-12


2017-12


100

Study Overview

Duct-to-mucosa Versus Invagination for Pancreaticojejunostomy

The purpose of this study is to determine whether duct-to-mucosa is better than invagination in pancreaticojejunostomy after pancreaticoduodenectomy. This single-centre, open, randomized controlled trail is conducted following ISGPF criteria for pancreatic fistula (PF). The duration of the study is supposed to start from Jan 5th 2012 and last to Dec 2014, until 100 or more cases are accessible. Patients diagnosed with pancreatic cancer, peri-ampullar carcinoma or other benign or malignant diseases which need to operate pancreaticoduodenectomy will be included. Main outcomes are pancreatic fistula rate, mortality, morbidity, reoperation and hospital stay. The investigators assumption that duct-to-mucosa is better than invagination.

N/A

  • Pancreatic Neoplasms
  • Biliary Tract Neoplasms
  • PROCEDURE: duct-to-mucosa
  • PROCEDURE: invagination
  • DEVICE: Internal stent
  • ZEH-LL-CX-004-02

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

2012-09-20  

N/A  

2017-01-25  

2012-09-27  

N/A  

2017-01-26  

2012-09-28  

N/A  

2017-01  

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:
Randomized


Interventional Model:
Parallel


Masking:
Triple


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: duct-to-mucosa

duct-to-mucosa technique is used for pancreaticojejunostomy after pancreaticoduodenectomy

PROCEDURE: duct-to-mucosa

DEVICE: Internal stent

  • Internal stent may be used during pancreaticojejunostomy according to the situation of pancreatic duct and experience of the surgeon.
ACTIVE_COMPARATOR: invagination

invagination technique is used for pancreaticojejunostomy after pancreaticoduodenectomy

PROCEDURE: invagination

DEVICE: Internal stent

  • Internal stent may be used during pancreaticojejunostomy according to the situation of pancreatic duct and experience of the surgeon.
Primary Outcome MeasuresMeasure DescriptionTime Frame
pancreatic fistulaThe determine of pancreatic fistula follows the International Study Group on Pancreatic Fistulas (ISGPF) criteria.From date of operation until the date of dischage or date of death from any cause, whichever came first,, assessed up to 200 days
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Mortality30-day or in-hospital mortality: death from any cause within 30 days after operation or any in-hospital death are considered concerned with the type of pancreaticojejunostomyFrom date of operation until the date of in-hospital death or death within 30 days after operation, whichever came first, assessed up to 200 days
Morbidityany complications after operation will be recorded.From date of operation until the date of discharge or date of death from any cause, whichever came first, assessed up to 200 days
ReoperationReasons and times of reoperation are recorded. The attending doctor will decided Whether reoperation is needed, according to indications and his experience.From date of operation until the date of discharge or date of death from any cause, whichever came first, assessed up to 200 days
Hospital stayPost-operation hospital stay is assessed.From date of operation until the date of discharge or date of death from any cause, whichever came first, assessed up to 200 days

Contacts and Locations

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

Study Contact

Name: Xue-Li Bai, Ph.D.

Phone Number: +86 571 87783510

Email: shirleybai57@hotmail.com

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:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Patients diagnosed with pancreatic cancer or other diseases which need pancreaticoduodenectomy and pancreaticojejunostomy
  • 18 to 80 y/o
  • Operation-tolerated
  • Informed consent

  • Exclusion Criteria:

  • History of gastrointestinal operation
  • Pancreaticoduodenectomy is given up during operation
  • Pancreatic duct is difficult to locate
  • Patients require to exit from the study anytime

Collaborators and Investigators

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

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

  • Bai X, Zhang Q, Gao S, Lou J, Li G, Zhang Y, Ma T, Zhang Y, Xu Y, Liang T. Duct-to-Mucosa vs Invagination for Pancreaticojejunostomy after Pancreaticoduodenectomy: A Prospective, Randomized Controlled Trial from a Single Surgeon. J Am Coll Surg. 2016 Jan;222(1):10-8. doi: 10.1016/j.jamcollsurg.2015.10.003. Epub 2015 Oct 21.