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

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

This is an observational study without any intervention

No intervention

Renyi Qin, MD

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

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.

Risk Factors for Achieving TO After LDPPHR-t

Risk Factors for Achieving Textbook Outcome After Laparoscopic Duodenum-preserving Total Pancreatic Head Resection: a Retrospective, Observational Study

The postoperative complications were graded into mild complications and severe complications according to the Clavien-Dindo classification of surgical complications, including postpancreatectomy hemorrhage, postoperative pancreatic fistula , and bile leakage.

Operation time defined as the time from skin incision or trocar placement to complete skin closure

Intraoperative blood loss recorded by the anesthetist using a vacuum system

Readmission defined as any readmission within 30 days after discharge

Tongji Hospital

Professor in Surgery, Chief Physician, Director of Surgical Supervision Department, Deputy Director of Institute of Hepatobiliary&Pancreatic, Director of Department of Biliary-Pancreatic Surgery

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Risk Factors for Achieving TO After LDPPHR-t	NCT05569343	Pancreatic Neop...	No intervention	18 Years - 75 Years	Tongji Hospital
Risk Factors for Achieving TO After LDPPHR-t	NCT05569343	Pancreatic Neop...	No intervention	18 Years - 75 Years	Tongji Hospital

Spots Global Cancer Trial Database for total pancreatic head resection