An observational study in Pancreaticoduodenectomy, sponsored by Institute of Liver and Biliary Sciences, India. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-05-25.
Sponsored by Institute of Liver and Biliary Sciences, India · Observational
Three-Dimensional Vascular Reconstruction of the Pancreas on Multi detector Computed Tomography images and its impact on patients undergoing Pancreatoduodenectomy - A Prospective Observational Study IPDA is difficult to identify in pre op in routine CECT images IPDA is difficult to identify in intra op Identification of those major blood vessels (SMA, MCA, Left Renal vein) that lie around the IPDA and then to measure the distances between these major vessels and the IPDA, helps to determine the location of the IPDA
Pancreaticoduodenectomy (PD) is a complex surgical procedure performed for benign and malignant indications .
Vascular anatomy of the pancreatic head, is important in multiple aspects
IPDA can be identified in up to 86% of the time using 3D MDCT . Identification of those major blood vessels (SMA, MCA, Left Renal vein) that lie around the IPDA and then to measure the distances between these major vessels and the IPDA, helps to determine the location of the IPDA.
In the existing studies, they have not defined the impact of identifying IPDA on intra operative parameters ( Operative time, Blood loss) These studies have not used uniform landmarks in the identification of IPDA
Institute of Liver and Biliary Sciences, India is the lead sponsor of 296 studies on the registry; 84 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Consecutive adult patients undergoing pancreaticoduodenectomy during the study period at ILBS
Exclusion Criteria:
All the consecutive patients who undergo pancreaticoduodenectomy will be recruited into the study after obtaining informed consent
Procedure: Pancreaticoduodenectomy
In Pre Operative phase 64 Slice MD CT scan will be taken in all patients undergoing PD in pre op period 3D reconstruction of Peripancreatic vascular system using MDCT images Measure longitudinal distance between Root of Left renal vein, origin of IPDA Measure distance between origin of SMA , MCA and the IPDA In Intraoperative period Distance will be measured using standard disposable ruler from Root of Left renal vein to IPDA after Transection of Pancreas followed by specimen removal and to measure the distance between MCA, SMA and IPDA using standard disposable ruler .
Probability of identifying IPDA with in 1 cm of anticipated location from Left renal vein determined by preoperative 3D reconstructed MDCT images.
During the procedure distance will be measured between root of Left Renal vein to Origin of IPDA
Time frame: During the Procedure
To correlate the location of IPDA predicted by 3D reconstruction of preoperative MDCT images with actual intraoperative location of MCA and SMA, after specimen removal
During the procedure distance will be measured between Origin of SMA and MCA to Origin of IPDA
Time frame: During the Procedure
To correlate the early ligation of IPDA with Blood Loss and Operative time
Blood Loss during the procedure and time required to complete the pancreaticoduodenectomy procedure
Time frame: During the Procedure
Spectrum of arterial anomalies encountered during Pancreaticoduodenectomy
Anatomy of vascular arcades arising from the celiac and superior mesenteric arteries will be noted during the procedure
Time frame: During The Procedure
To compare operative time between patients who undergo pre operative 3D vascular reconstruction on MD CT followed by Pancreaticoduodenectomy versus historical controls who have undergone pancreaticoduodenectomy at ILBS
Operative time of patients who have undergone pancreaticoduodenectomy during the study period is compared with historical cohorts
Time frame: During the Procedure
To compare blood loss between patients who undergo pre operative 3D vascular reconstruction on MD CT followed by Pancreaticoduodenectomy versus historical controls who have undergone pancreaticoduodenectomy at ILBS
Blood loss of patients who have undergone pancreaticoduodenectomy during the study period is compared with historical cohorts
Time frame: During the Procedure
No study locations are listed for this record.
Plan to share: No
This study is status unknown, as verified in May 2022. You cannot join it, but the record below documents what was studied.
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Institute of Liver and Biliary Sciences, India