An interventional study of Postoperative drain removal in Pancreaticoduodenectomy, Distal Pancreatectomy and Pancreatic Fistula, sponsored by Universita di Verona. Completed at 1 site in Italy. Per ClinicalTrials.gov, last updated 2009-07-02.
Sponsored by Universita di Verona · Not applicable, Interventional, and Prevention
Despite a substantial decrease in postoperative mortality, morbidity after pancreatic resections is still high, even at high-volume centers. It has been recently suggested that early removal of postoperative drainages is associated to a decreased rate of intra-abdominal complications, with particular regard to pancreatic fistula. Furthermore, our research group demonstrated that measuring amylase value in drainages (AVD) on postoperative day 1 plays a cardinal role in predicting the developement of abdominal complications, including pancreatic fistula. In particular, patients with an AVD lower than 5000 IU/L in postoperative day 1 were considered at low risk of fistula. Therefore, the investigators designed a randomized prospective trial on early (postoperative day 3) versus standard (postoperative day 5) drainages removal after pancreatic resections in patients at low risk of developing pancreatic fistula (AVD \< 5000 IU/L in postoperative day 1) to test whether drainages "per se" influence postoperative complication rates and to eventually validate a fast-track policy in pancreatic resections.
122 studies on the registry are indexed under Pancreatic Fistula; 27 are open to participants now.
This study's enrollment of 114 is close to the median of 110 across 77 interventional studies indexed under Pancreatic Fistula.
Browse Pancreatic Fistula studies →Universita di Verona is the lead sponsor of 125 studies on the registry; 27 are open to participants now.
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Exclusion Criteria:
Drain removal in postoperative day 3
Procedure: Postoperative drain removal
Drain removal on postoperative day 5
Procedure: Postoperative drain removal
removal of postoperative drainages at different time points (postoperative day 3 versus postoperative day 5)
Abdominal Complications
Time frame: 1 month
In-hospital stay
Time frame: 1 month
Pulmonary complications
Time frame: 1 month
Hospital readmission
Time frame: 1 month
This study is completed, as verified in Jul 2009. You cannot join it, but the record below documents what was studied.
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