Our Anesthesia Experiences in Hepatopancreatobiliary Surgery Practices: a Retrospective Study

NCT ID: NCT06002776

Last Updated: 2023-08-21

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Total Enrollment

6 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-08-31

Study Completion Date

2023-09-30

Brief Summary

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Has the evolving anesthetic management in major abdominal surgeries had a positive impact on patients' one-year postoperative mortality and length of hospital stay? Which of the anesthetic management parameters have influenced mortality and hospital stay duration in these patients? To address these questions, we have planned to retrospectively review patients who underwent surgery at our center.

Detailed Description

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In our study, we aimed to compile our practices over the last 5 years by evaluating the impact of perioperative and postoperative anesthetic management on morbidity and mortality in hepatopancreatobiliary surgical patients. Our primary outcome was to form a comprehensive understanding of our anesthesia experiences during the preoperative, perioperative, and postoperative periods in this patient group. Our secondary outcome was to assess the influence of preoperative and perioperative anesthetic management on the morbidity and mortality of these patients.

Conditions

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Experience, Life

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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preoperative and perioperative anaesthetic management

We have planned to retrospectively review data for patients aged 18 and above who underwent major abdominal surgery at our center between October 2017 and February 2022. The study aims to record data regarding the administration of thromboprophylaxis, preoperative hemoglobin values, and Revised Cardiac Risk Index scores and their impact on one-year postoperative mortality. Additionally, we intend to examine the effects of the amount of fluid administered during the perioperative period, the application of epidural analgesia, and the use of blood products on hospital stay duration and one-year postoperative mortality.

a retrospective study

Intervention Type OTHER

a retrospective study

Interventions

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a retrospective study

a retrospective study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* The study will include data from patients who have undergone their first operation with the diagnoses of liver malignancy, cholangiocarcinoma, and pancreatic malignancy during the period from October 2017 to February 2022.

Exclusion Criteria

* Data from patients who were deemed inoperable during the perioperative period after being taken into surgery with their current diagnosis, as well as data from patients who underwent repeat operations, were excluded from the study for their second and subsequent hospitalizations.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sisli Hamidiye Etfal Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Merve Gokce

Assistant Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sisli Hamidiye Etfal Training and Researching Hospital

Istanbul, Sarıyer, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Facility Contacts

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Merve Gökçe, Ass. Dr.

Role: primary

+905301414222

Ayşe Surhan Çınar, Prof. Dr.

Role: backup

+905326850929

References

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Snowden C, Prentis J. Anesthesia for hepatobiliary surgery. Anesthesiol Clin. 2015 Mar;33(1):125-41. doi: 10.1016/j.anclin.2014.11.008. Epub 2014 Dec 31.

Reference Type BACKGROUND
PMID: 25701932 (View on PubMed)

Hemmerling TM. Pain management in abdominal surgery. Langenbecks Arch Surg. 2018 Nov;403(7):791-803. doi: 10.1007/s00423-018-1705-y. Epub 2018 Oct 3.

Reference Type BACKGROUND
PMID: 30284029 (View on PubMed)

von der Forst M, Weiterer S, Dietrich M, Loos M, Lichtenstern C, Weigand MA, Siegler BH. [Perioperative fluid management in major abdominal surgery]. Anaesthesist. 2021 Feb;70(2):127-143. doi: 10.1007/s00101-020-00867-7. German.

Reference Type BACKGROUND
PMID: 33034685 (View on PubMed)

Other Identifiers

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Sisli Hamidiye Etfal TRH

Identifier Type: -

Identifier Source: org_study_id

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