Surgical approach to pancreaticoduodenectomy for pancreatic adenocarcinoma: uncomplicated ends justify the means
| العنوان: | Surgical approach to pancreaticoduodenectomy for pancreatic adenocarcinoma: uncomplicated ends justify the means |
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| المؤلفون: | Samer A Naffouje, Jose M. Pimiento, Pamela J. Hodul, Megan A. Satyadi, Jason B. Fleming, David T. Pointer, Jason W. Denbo, Daniel A. Anaya, Mokenge P. Malafa, Dae-Won Kim |
| المصدر: | Surgical Endoscopy. 36:4912-4922 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Surgical approach, Gastric emptying, business.industry, medicine.medical_treatment, fungi, Pancreaticoduodenectomy, medicine.disease, Surgery, Sepsis, Pancreatic fistula, Cohort, Propensity score matching, medicine, Adenocarcinoma, business |
| الوصف: | BACKGROUND Pancreaticoduodenectomy (PD) remains the cornerstone of managing pancreatic ductal adenocarcinoma (PDAC) of the pancreas head/neck, but it is associated with high morbidity. We hypothesize that, in absence of pancreatectomy-specific morbidity (PSM), minimally invasive PD (MIPD) provides improved short-term outcomes compared to open PD (OPD). METHODS NSQIP pancreatectomy-targeted database 2014-2019 was utilized. PSM was defined as the occurrence of delayed gastric emptying (DGE) and/or post-operative pancreatic fistula (POPF). The cohort was divided into No-PSM and PSM groups. Propensity score match was applied in each group to compare outcomes of MIPD vs. OPD. RESULTS 8,121 patients were selected. Patients were divided into No-PSM (N = 6267) and PSM (N = 1854) groups. In No-PSM group, we matched 1656 OPD to 552 MIPD patients. MIPD had longer operations (423 vs. 359 min; p |
| تدمد: | 1432-2218 0930-2794 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::1542fc8a1e7a8a35e68dd7b82c625bfb https://doi.org/10.1007/s00464-021-08845-9 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........1542fc8a1e7a8a35e68dd7b82c625bfb |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14322218 09302794 |
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