Splenectomy: Open Debridement combined with distal pancreatectomy and total splenectomy
Control: Open Debridement alone
Study summary
This study is a prospective, single-center, randomized controlled trial focusing on patients with acute necrotizing pancreatitis (ANP) complicated by pancreatic sinistral portal hypertension (PSPH). The study aims to study the impact of total splenectomy on the debridement efficacy, perioperative recovery, and prognosis of patients with ANP complicated by PSPH.
Eligibility
Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria:
1. Age between 18 and 75 years.
2. Acute necrotic pancreatitis complicated by pancreatic sinistral portal hypertension.
3. Patients undergoing open debridement for infected pancreatic necrosis
Exclusion Criteria:
1. Patients with pre-existing heart, lung, liver, kidney, or other organ failure prior to acute pancreatitis (AP).
2. Patients with pre-existing conditions such as cirrhosis that may lead to portal hypertension prior to AP.
3. Patients with pre-existing hematological diseases prior to AP.
4. Patients undergoing laparoscopic or nephroscopic debridement.
Primary outcome measure(s)
Length of hospital stay after debridement — From enrollment of the first subject to completion of follow-up of the last subject (up to 5 years) The total length of hospital stay after debridement, including readmissions.
Degree of pancreatic sinistral portal hypertension — From enrollment of the first subject to completion of follow-up of the last subject (up to 5 years) The degree of pancreatic sinistral portal hypertension after intervention
Trial sites (1)
Facility
City
Region
Status
First Affiliated Hospital, Zhejiang University School of Medicine
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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