Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
50 participants
INTERVENTIONAL
2021-01-01
2022-01-01
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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NON_RANDOMIZED
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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Conducting research of enhanced recovery after surgery
1. Informing the patient about the course of the operation and the postoperative period. Psychological preparation.
2. Refusal from complete starvation. Carbohydrate drink 2 hours before surgery.
3. Refusal of cleansing enemas.
4. Refusal of premedication. NSAIDs 30 minutes before surgery
5. Prevention of thromboembolic complications
6. Multimodal analgesia: epidural catheter, paracetamol.
7. Minimally invasive access.
8. Prevention of hypothermia
9. Targeted infusion therapy.
10. Failure or limited time use of drainages: gastric, intra-abdominal, bile duct drainage.
11. Early activation of the patient.
12. Early enteral nutrition.
13. Prevention of nausea and vomiting.
Enhanced recovery after biliary tract surgery
Patients with malignant and benign diseases of the bile ducts, who have formed various types of anastomosis in two options for managing the postoperative period: traditional and based on the principles of enhanced recovery after surgery
Conducting research of traditional recovery after surgery
1. Informing the patient about the course of the operation and the postoperative period. Psychological preparation.
2. Fasting for 2 days
3. Use of cleansing enemas. Bowel preparation
4. Premedication
5. Prevention of thromboembolic complications
6. Without multimodal analgesia
7. Traditional access.
8. Prevention of hypothermia
9. Targeted infusion therapy.
10. Use of drains: gastric, intra-abdominal, bile duct drainage.
11. Activation of patients within 2 days.
12. Enteral nutrition after 2 days after surgery.
13. Without the use of metoclopramide
Enhanced recovery after biliary tract surgery
Patients with malignant and benign diseases of the bile ducts, who have formed various types of anastomosis in two options for managing the postoperative period: traditional and based on the principles of enhanced recovery after surgery
Interventions
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Enhanced recovery after biliary tract surgery
Patients with malignant and benign diseases of the bile ducts, who have formed various types of anastomosis in two options for managing the postoperative period: traditional and based on the principles of enhanced recovery after surgery
Eligibility Criteria
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Inclusion Criteria
1.1. tumor resectability 1.2. absence:
* distant metastases
* carcinomatosis
* perforation of the tumor and peritonitis
* sprouting into adjacent organs and tissues (locally advanced cancer)
* total adhesion process in the abdominal cavity (after previous operations). 1.3. Planned reconstructive surgery on the biliary tract.
2. Patients with benign biliary tract pathology. 2.1. Planned reconstructive or restorative surgery on the biliary tract for the following diseases:
* choledocholithiasis
* Mirizzi syndrome
* cysts of the common bile duct
* strictures of the common bile duct
* injuries to the bile ducts
* adenoma and stricture of the OBD
Exclusion Criteria
2. Palliative reconstructive surgery.
3. Previously performed operations on the bile ducts (up to 1 month).
4. Cachexia.
18 Years
75 Years
ALL
No
Sponsors
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Vitebsk State Medical University
OTHER
Responsible Party
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Yury Arlouski
Associate professor, MD, PhD
Central Contacts
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Other Identifiers
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Biliary interventional
Identifier Type: -
Identifier Source: org_study_id