| Unique ID issued by UMIN | UMIN000045604 |
|---|---|
| Receipt number | R000052068 |
| Scientific Title | Patient characteristics and intraoperative factors predicting clinical relevant pancreatic fistula after pancreaticoduodenectomy |
| Date of disclosure of the study information | 2021/10/01 |
| Last modified on | 2023/03/29 14:55:13 |
Patient characteristics and intraoperative factors predicting clinical relevant pancreatic fistula after pancreaticoduodenectomy
Pancreatic fistula after pancreaticoduodenectomy
Patient characteristics and intraoperative factors predicting clinical relevant pancreatic fistula after pancreaticoduodenectomy
Pancreatic fistula after pancreaticoduodenectomy
| Japan |
Pancreaticoduodenectomy
| Hepato-biliary-pancreatic surgery | Anesthesiology |
Malignancy
NO
Pancreatic fistula (PF) remains the most important cause of morbidity and mortality following pancreaticoduodenectomy (PD). Several studies have identified surgical risk factors associated with clinical relevant PF (Grade B or C) but few studies have focused on anesthetic aspects.
Others
The aim of the study is to validate predictive patient characteristics and intraoperative factors including depth of anesthesia of clinical relevant PF after PD.
Depth of anesthesia (bispectral index)
Observational
| 20 | years-old | < |
| 90 | years-old | > |
Male and Female
elective open pancreaticoduodenectomy
dialysis-dependent patients, patients with missing intraoperative data
75
| 1st name | Masato |
| Middle name | |
| Last name | Nakasuji |
Kansai Electric Power Hospital
Department of Anesthesiology
5530003
2-1-7 Fukushima, Fukushima-ku, Osaka 553-0003, Japan
06-6458-5821
nakasuji.masato@c3.kepco.co.jp
| 1st name | Masato |
| Middle name | |
| Last name | Nakasuji |
Kansai Electric Power Hospital
Department of Anesthesiology
5530003
2-1-7 Fukushima, Fukushima-ku, Osaka 553-0003, Japan
06-6458-5821
nakasuji.masato@c3.kepco.co.jp
Kansai Electric Power Hospital
Kansai Electric Power Hospital
Other
Institutional Review Board of Kansai Electric Power Hospital
2-1-7 Fukushima, Fukushima-ku, Osaka 553-0003, Japan
06-6458-5821
koga.kazuhiro@c3.kepco.co.jp
NO
| 2021 | Year | 10 | Month | 01 | Day |
https://anesth.or.jp/
Published
https://anesth.or.jp/
76
PF and non-PF group comprised 18 and 58 patients respectively.The patients in PF group had significant less ratio of type 2 diabetes mellitus (6 vs 36 %, PF vs non- PF group, p=0.015) and higher rate of patients with intraoperative bispecral index (BIS) less than 45 (67 vs 33 %, p=0.014). Logistic analysis showed that BIS < 45 and non- diabetes mellitus were independent risk factors for postoperative PF.
| 2023 | Year | 03 | Month | 29 | Day |
Patients undergoing elective open PD from September 2013 to April 2021
The patients were divided into PF (Grade B or C) and non-PF (without PF or asymptomatic PF of Grade A) groups. We compared perioperative factors between the two groups and logistic analysis was used to identify the independent risk factors of PF.
None
Patients' background and intra-postoperative factors
Main results already published
| 2021 | Year | 09 | Month | 01 | Day |
| 2021 | Year | 09 | Month | 15 | Day |
| 2021 | Year | 10 | Month | 01 | Day |
| 2021 | Year | 11 | Month | 30 | Day |
In this case-control retrospective study based on the past anesthetic records, patients undergoing elective open PD from September 2013 to April 2021 were divided into PF (Grade B or C) and non-PF (without PF or asymptomatic PF of Grade A) groups. We compared perioperative factors between the two groups and logistic analysis was used to identify the independent risk factors of PF.
| 2021 | Year | 09 | Month | 29 | Day |
| 2023 | Year | 03 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052068