Our Anesthesia Experiences in Hepatopancreatobiliary Surgery Practices: a Retrospective Study
Study Details
Study Description
Brief Summary
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| 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. |
Other: a retrospective study
a retrospective study
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Outcome Measures
Primary Outcome Measures
- form a comprehensive understanding of our anesthesia experiences during the preoperative, perioperative, and postoperative periods in this patient group [october2017-february2022]
Secondary Outcome Measures
- assess the influence of preoperative and perioperative anesthetic management on the morbidity and mortality of these patients. [october2017-february2022]
Eligibility Criteria
Criteria
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.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Sisli Hamidiye Etfal Training and Researching Hospital | Istanbul | Sarıyer | Turkey | 34396 |
Sponsors and Collaborators
- Sisli Hamidiye Etfal Training and Research Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- 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.
- 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.
- 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.
- Sisli Hamidiye Etfal TRH