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Following pancreaticoduodenectomy, omental flaps around the pancreatic anastomosis and adhesive glue can lower the risk of pancreatic fistula, post-pancreatectomy bleeding, and delayed gastric emptying. The overall morbidity following pancreaticoduodenectomy can be decreased with this straightforward and efficient treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A double-layered, end-to-side pancreaticojejunostomy without omental patch or glue | Active Comparator |
| |
| A double-layered, end-to-side pancreaticojejunostomy with omental patch and Glue | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pancreaticojejunostomy without omental patch | Procedure | A laparoscopic pancreaticoduodenectomy with pylorus preservation was performed on each patient. A pancreatojejunostomy was created and not fixed with an omental patch or glue. |
| Measure | Description | Time Frame |
|---|---|---|
| The rate of pancreatic fistula after pancreaticoduodenectomy | 4 weeks postoperative |
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Inclusion Criteria:
- Resectable tumors of the periampullary region
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Theodor Bilharz Research Institute | Giza | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16132400 | Result | Maeda A, Ebata T, Kanemoto H, Matsunaga K, Bando E, Yamaguchi S, Uesaka K. Omental flap in pancreaticoduodenectomy for protection of splanchnic vessels. World J Surg. 2005 Sep;29(9):1122-6. doi: 10.1007/s00268-005-7900-3. |
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The data will be shared upon request from the principle investigator.
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| Pancreaticojejunostomy with omental patch and glue | Procedure | A laparoscopic pancreaticoduodenectomy was performed on each patient. A pancreaticojejunostomy was fixed with glue to secure the anastomosis. The greater omentum was separated longitudinally over an avascular zone, and one or two omental branches of the gastroepiploic arteries were preserved using pedicle omental flaps. The omentum was rolled up and secured with glue. |
|
| ID | Term |
|---|---|
| D010193 | Pancreaticojejunostomy |
| D000269 | Adhesives |
| ID | Term |
|---|---|
| D000714 | Anastomosis, Surgical |
| D013514 | Surgical Procedures, Operative |
| D013505 | Digestive System Surgical Procedures |
| D020313 | Specialty Uses of Chemicals |
| D020164 | Chemical Actions and Uses |
| D008420 | Manufactured Materials |
| D013676 | Technology, Industry, and Agriculture |
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