This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Safety of combined division vs separate division of the splenic vein in patients undergoing distal pancreatectomy. A noninferiority randomized clinical trial. JAMA Surg 2021; 156: 418-428.

Published: 24th November 2021

Authors: Yamada S, Fujii T, Sonohara F, Kawai M, Shibuya K, Matsumoto I et al.

Conclusion

Two methods of dividing the splenic vein were compared in this study that included 316 procedures. There was no difference in the rate of pancreatic fistula between the methods (28.6 per cent combined, versus 27.1 per cent separate), and it was concluded the splenic vein could safely be divided within the pancreatic parenchyma, without being dissected out and isolated.

Pubmed Link

You may also be interested in

Scientific Surgery

Laparoscopic versus open pancreatoduodenectomy for pancreatic or periampullary tumours: a multicentre, open-label, randomised controlled trial. Lancet Gastroenterol Hepatol 2021; 6: 438-447.

Authors: Wang M, Li D, Chen R, Huang X, Li J, Liu Y et al.

Scientific Surgery

Nasogastric decompression vs no decompression after pancreaticoduodenectomy. The randomized clinical IPOD Trial. JAMA Surg 2020; 155: e202291.

Authors: Bergeat D, Merdrignac A, Robin F, Gaignard E, Rayar M, Meunier B et al.

Scientific Surgery

Pancreatoduodenectomy with epidural vs patient-controlled intravenous analgesia. A randomized clinical trial. JAMA Surg 2020; 155: e200794.

Authors: Klotz R, Larmann J, Klose C, Bruckner T, Benner L, Doerr-Harim C et al.

Scientific Surgery

A systematic review and network-meta-analysis of gastro-enteric reconstruction techniques following pancreatoduodenectomy to reduce delayed gastric emptying. World J Surg 2020; 44: 2314-2322.

Authors: Kamarajah SK, Bundred JR, Alessandri G, Robinson SM, Wilson CH, French JJ et al.

Scientific Surgery

Pancreaticojejunostomy with externalized stent vs pancreaticogastrostomy with externalized stent for patients with high-risk pancreatic anastomosis. A single-center, phase 3, randomized clinical trial. JAMA Surg 2020; 155: 313-321.

Authors: Andrianello S, Marchegiani G, Malleo G, Masini G, Balduzzi A, Paiella S et al.

Scientific Surgery

Effect of hydrocortisone vs pasireotide on pancreatic surgery complications in patients with high risk of pancreatic fistula. A randomized clinical trial. JAMA Surg 2020; 155: 291-298.

Authors: Tarvainen T, Siren J, Kokkola A, Sallinen V

Scientific Surgery

Results of a randomized controlled trial comparing closed-suction drains versus passive gravity drains after pancreatic resection. Surgery 2018; 164: 1057-1063.

Authors: Čečka F, Jon B, Skalický P, Čermáková E, Neoral C, Loveček M et al.

Scientific Surgery

Modified Blumgart mattress suture versus conventional interrupted suture in pancreaticojejunostomy during pancreaticoduodenectomy. Randomized controlled trial. Ann Surg 2019; 269: 243–251.

Authors: Hirono S, Kawai M, Okada K-I, Miyazawa M, Kitahata Y, Hayami S et al.

Scientific Surgery

Minimally invasive versus open distal pancreatectomy (LEOPARD). A multicenter patient-blinded randomized controlled trial. Ann Surg 2019; 269: 2-9.

Authors: de Rooij T, van Hilst J, van Santvoort H, Boerma D, van den Boezem P, Daams F et al.

Scientific Surgery

Comparison of perioperative outcomes between laparoscopic and open approach for pancreatoduodenectomy: the PADULAP randomized controlled trial. Ann Surg 2018; 268: 731-739.

Authors: Poves I, Burdío F, Morató O, Iglesias M, Radosevic A, Ilzarbe L et al.

Scientific Surgery

Pylorus resection does not reduce delayed gastric emptying after partial pancreatoduodenectomy: a blinded randomized controlled trial (PROPP Study, DRKS00004191). Ann Surg 2018; 267: 1021-1027.

Authors: Hackert T, Probst P, Knebel P, Doerr-Harim C, Bruckner T, Klaiber U et al.

Scientific Surgery

A Prospective randomized multicenter trial of distal pancreatectomy with and without routine intraperitoneal drainage. Ann Surg 2017; 266: 421-431.

Authors: Van Buren G , Bloomston M, Schmidt CR, Behrman SW, Zyromski NJ, Ball C et al.