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One layer dunking pancreatojejunostomy vs double layer dunking pancreatojejunostomy during laparoscopic pancreatoduodenectomy.
Russian Federation (HCCM Russia) - Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow
Department of high-tech surgery and surgical endoscopy
Professor - Roman E.Izrailov. MD, PhD, DSc
Assistant - Pavel S.Tyutyunnik, MD.
Type of Research Project
- Clinical Project with Laboratory work
What is the background of the project?
Pancreatojejunostomy is one the most challenging part of pancreatoduodenectomy. One the most dead full postoperative complications causing by insufficiency of pancreatojejunostomy is pancreatic fistula. In the present publications the rate of pancreatic fistula is about 20 to 60 % of cases. There is no clear meaning for technique of open pancreatojejunostomy and especially for laparoscopic pancreatojejunostomy. We have one the major experience in the world of performing totally laparoscopic pancreatoduodenectomy. In order to decrease the rate of pancreatic fistula we are comparing one layer and two layer laparoscopic dunking pancreatoduodenectomy.
What is the aim of the project?
The aim of the project is reduce number of pancreatic fistula and operative time
What techniques and methods are used?
The study includes observation of computed tomography, participation on discussions on strategy of treatment. Work in dry lab for laparoscopic pancreatojejunostomy. Observation in laparoscopic pancreatojejunostomy. Statistical methods: Mann-Whitney-Wilcoxon Test using StatSoft STATISTICA v6.0
What is the role of the student?
- The student will mainly observe
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks of the student will be performed on his/her own
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
The student is expected to be rapidly integrated into the project team, and to take part in all project’s activities including observation of computed tomography, participation on discussions on strategy of treatment. Work in dry lab for laparoscopic pancreatojejunostomy by their own under tutor’s supervision. Observation in laparoscopic pancreatojejunostomy. Statistical methods: Mann-Whitney-Wilcoxon Test using StatSoft STATISTICA v6.0 application package.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Introductions seminars and gastric cancer lectures will be provided
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a presentation - The student’s name will be mentioned in a future publication
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Students have to provide good theoretical background in anatomy and at least elementary skills in surgery. Written English should be of high level, project will be accompanied by workbook maintenance. Also student has to know our scientific topic about minimally invasive surgery. Student allowed perform any manipulation with patient or his/her examination’s data only under supervision of tutor. Subjects passed: anatomy, general surgery Previous experience with: some experience of scientific working in medicine. Student cannot use any of the data he / she worked with during the research exchange in Moscow Clinical Scientific Center. Student will be among authors panel for abstract publication. Student will get reference for his publication.
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months)
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