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Validations of new cut-offs for surgical drains management and use of computerized tomography scan after pancreatoduodenectomy:The DALCUT trial

引用

World Journal of Clinical Cases 2022年第15期10卷 4836-4842页

作者： Damiano Caputo Alessandro Coppola Vincenzo La Vaccara Roberto Passa Ludovico Carbone Massimo Ciccozzi Silvia Angeletti Roberto Coppola Department of Surgery University Campus Bio-Medico of RomeRome 00128Italy Unit of Medical Statistic and Molecular Epidemiology University Campus Bio-Medico of RomeRome 00128Italy Unit of Clinical Laboratory Science University Campus Bio-Medico of RomeRome 00128Italy

BACKGROUND Postoperative pancreatic fistula(POPF)is the most fearful complication after pancreatic surgery and can lead to severe postoperative complications such as surgical site infections,sepsis and bleeding.A previous study which identified cut-offs of drains amylase levels(DALs)determined on postoperative day(POD)1 and POD3,was able to significantly predict POPF,abdominal collections and biliary fistulas,when related to specific findings detected at the abdominal computerized tomography(CT)scan routinely performed on *** To validate the cut-offs of DALs in POD1 and POD3,established during the previous study,to assess the risk of clinically relevant POPF and confirm the usefulness of abdominal CT scan on POD3 in patients at increased risk of abdominal *** The DALCUT trial is an interventional prospective *** patients who will undergo pancreatoduodenectomy(PD)for periampullary neoplasms will be considered *** patients will receive clinical staging and,if eligible for surgery,will undergo routine preoperative *** the PD,daily DALs will be evaluated from *** removal and possible requirement of abdominal CT scans in POD3 will be managed on the basis of the outcome of DALs in the first three postoperative *** This prospective study could validate the role of DALs in the management of surgical drains and in assessing the risk or relevant complications after *** could be removed in POD3 in case of POD1 DALsdrains could be maintained beyond *** The results of this trial will contribute to a better knowledge of POPF and management of surgical drains.

关键词： Pancreatic surgery drains amylase Pancreatic fistula Postoperative complications Computerized tomography scan

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