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Japanese

May. 21, 2026

June. 10, 2026

jRCT1061260023

Efficacy of peripheral parenteral nutrition solution on outcomes in robotic pancreatoduodenectomy: A randomized controlled trial

Efficacy of peripheral parenteral nutrition solution on outcomes in robotic pancreatoduodenectomy

Takagi Kosei

Okayama University Hospital

2-5-1 shikatacho, Kita-ku, Okayama City

+81-86-235-7257

kosei0913@gmail.com

Takagi Kosei

Okayama University Hospital

2-5-1 shikatacho, Kita-ku, Okayama City

+81-86-235-7257

kosei0913@gmail.com

Recruiting

May. 21, 2026

June. 08, 2026
56

Interventional

randomized controlled trial

open(masking not used)

no treatment control/standard of care control

parallel assignment

treatment purpose

1.Age is 18 years or older
2.The patients who receive robotic pancreatoduodenectomy at our institution
3. Patients who have given written informed consent

1. patients who cannot give consent
2. severe respiratory dysfunction (arterial PaO2 <70 mmHg)
3. severe cardiac dysfunction (New York Heart Association 3 or more)
4. severe hepatic dysfunction (Child Pugh classification C)
5. severe renal dysfunction (hemodialysis)
6. acute bacterial infections
7. severe psychiatric disorder
8. patients with distant metastases
9. palliative surgery
10. emergency surgery
11. investigator not available

18age old over
No limit

Both

The patients who require robotic pancreatoduodenectomy

For postoperative fluid therapy, peripheral parenteral nutrition solution will be used; 2200ml per a day from postoprative day 1.
The dosage can be adjusted according to the amount of oral intake.

Body weight loss rate on postoperative 1 month compared t admission

Muscle mass reduction rate before discharge
Body composition changes before discharge
Changes of skeletal muscle mass, weight loss rate, body composition on postoperative 1 month
Nutrition-related blood index (TP, Alb, pre-Alb, T-Chol, lymphocyte count, CRP)
Inflammatory reaction increased (postoperative maximum values of WBC and CRP)
Postoperative outcomes (length of hospital stay, complications, etc)
Postoperative liver and renal dysfunction (AST, ALT, T-Bil, BUN, Cr)
Postoperative QOL evaluation (PGSAS-45)
peripheral parenteral nutrition solution dosage during observation period

Okayama University Certified Review Board
2-5-1 Shikata-cho, Kita-ku, Okayama city, Okayama

+81-86-235-6503

ouh-crrb@adm.okayama-u.ac.jp
Approval

May. 13, 2026

none

History of Changes

No Publication date
2 June. 10, 2026 (this page) Changes
1 May. 21, 2026 Detail