Learning Curve for Laparoscopic Distal Pancreatectomy
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Purpose
Laparoscopic distal pancreatectomy (LDP) for benign and borderline pancreatic lesions has recently becoming the treatment of choice in experienced centres. No data have been published about learning curve so far. The purpose of this study was to identify the learning curve period for performing LDP.
| Condition | Intervention |
|---|---|
|
Pancreatic Lesions Located at Body or Tail. |
Procedure: Laparoscopy |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Learning Curve for Laparoscopic Distal Pancreatectomy in a High-volume Hospital |
- Conversion to open surgery [ Time Frame: during surgery; 3 to 5 hours from the start of the procedure ] [ Designated as safety issue: No ]
- Operative Time [ Time Frame: during surgery; 3 to 5 hours from the start of the procedure ] [ Designated as safety issue: No ]
- Blood loss [ Time Frame: during surgery; 3 to 5 hours from the start of the procedure ] [ Designated as safety issue: No ]
- Length of Hospital Stay [ Time Frame: Postoperative. From 0 to 30 days after discharge. ] [ Designated as safety issue: No ]
| Enrollment: | 30 |
| Study Start Date: | March 2009 |
| Study Completion Date: | August 2010 |
| Primary Completion Date: | August 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Laparoscopic Distal Pancreatectomy |
Procedure: Laparoscopy
Laparoscopic distal pancreatectomy
|
Detailed Description:
Between March 2009 and August 2010 all patients with lesion of body or tail of pancreas were assessed for eligibility for LDP. Exclusion criteria were: major vessels contact in cancer patients, severe organ dysfunction, BMI > 35, and refusing laparoscopic approach. All laparoscopic procedures were carried out by the same surgical team with large experience in open pancreatic surgery. All patients were treated according to an early recovery after surgery protocol. Primary endpoint was conversion rate. Secondary endpoints were operation time, operative blood loss, postoperative morbidity, and length of stay.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- pancreatic lesion located at body or tail
Exclusion Criteria:
- major vessels infiltration
- severe organ dysfunction
- refusing laparoscopic approach
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Marco Braga, MD, Università Vita-Salute San Raffaele |
| ClinicalTrials.gov Identifier: | NCT01258621 History of Changes |
| Other Study ID Numbers: | PANCREAS-LDP2010 |
| Study First Received: | December 10, 2010 |
| Last Updated: | December 10, 2010 |
| Health Authority: | Italy: Ministry of Health |
Keywords provided by Università Vita-Salute San Raffaele:
|
distal pancreatectomy, laparoscopy, learning curve |
ClinicalTrials.gov processed this record on May 23, 2013