An interventional study of Hand-sewn and Hemi-double stapling in Periampullar Disease, sponsored by Gangnam Severance Hospital. Status unknown at 1 site in Korea, Republic of. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2022-10-25.
Sponsored by Gangnam Severance Hospital · Not applicable, Interventional, and Treatment
Surgical stapler is used in all areas of surgical operation. Surgical stapler has been used in various surgical fields for a long time, so its stability has already been proven. After gastrectomy or colectomy, the hemi-double stapling technique, which is an improved double stapling technique, has been applied as an anastomosis method using a stapler.
In the duodenojejunal anastomosis after PPPD, the hemi-double stapling method can be applied to preserve the pyloric branch of the vagus nerve and the branch of the right gastric artery to ensure sufficient blood supply. Ultimately, it is expected to shorten the anastomosis time as well as reduce the frequency of delayed gastric emptying. In addition, the work of physically expanding the pylorus to insert the circular anastomosis is also thought to reduce gastric emptying delay.
(1) Stapling technique
(2) Postoperative management
Gangnam Severance Hospital is the lead sponsor of 141 studies on the registry; 37 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Doudenojejunal anastomosis by hand-swen method
Procedure: Hand-sewn
Doudenojejunal anastomosis by hemi-double-stapling method
Procedure: Hemi-double stapling
Doudenojejunal anastomosis by hand-sewn method
Doudenojejunal anastomosis by hemi-double-stapling method "EEA25 - Covidien EEA Circular Stapler DST Series 25.0mm x 4.8mm" is used for anastomosis
Grade of delayed gastric emptying by ISGPS
Delayed gastric emptying will be evaluated at postoperative 21 day using International study group of pancreatic surgery (ISGPS) classification. According to ISGPS classification, delayed gastric emptying is divided into three grades from A to C. Grade C means worse than grade A.--\>Unit of Measure: Grade A,B,C
Time frame: At postoperative 21 day
hospital stay
Duration (days) of hospital stay, which means interval between operation day and discharge day will be checked up to postoperative 2 months. --\> Unit of Measure: days
Time frame: At postoperative 21 day
intraperitoneal abscess
Intraperitoneal abscess will be evaluated using 2 point scale (yes or no) at postoperative 2 months. * Unit of Measure: Yes, No
Time frame: at postoperative 2 months
Incidence of reoperation/ readmission
The incidence of reoperation and readmission will be evaluated using 2 point scale (yes or no) at postoperative 2 months.--\> Unit of Measure: Yes, No
Time frame: At postoperative 21 day
Plan to share: No
No publications or documents are linked to this record.
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Gangnam Severance Hospital