The purpose of this study is to investigate the effect of intraoperative blood glucose management based on real-time continuous glucose monitoring ( RT-CGM) on time in range (TIR) and postoperative recovery during pancreaticoduodenectomy. The primary outcome is intraoperative TIR. Additionally, it aims to compare the differences in other glucose metrics, quality of postoperative recovery, and 30-day postoperative complications and mortality between the two glycemic management methods .
Age ≥ 18
Scheduled for pancreaticoduodenectomy
ASA classification I-III
Emergency surgery
scheduled for MRI the day before surgery
Allergy to CGM sensor
Communication barriers or refusal to participate