Clinical impact of preoperative acute pancreatitis in patients who undergo pancreaticoduodenectomy f

来源 :World Journal of Gastroenterology | 被引量 : 0次 | 上传用户:dbscy001
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
AIM: To investigate the impact of preoperative acute pancreatitis(PAP) on the surgical management of periampullary tumors.METHODS: Fifty-eight patients with periampullary tumors and PAP were retrospectively analyzed. Thirtyfour patients who underwent pancreaticoduodenectomy(PD) and 4 patients who underwent total pancreatectomy were compared with a control group of 145 patients without PAP during the same period.RESULTS: The preoperative waiting time was significantly shorter for the concomitant PAP patients who underwent a resection(22.4 d vs 54.6 d, p < 0.001)compared to those who did not. The presence of PAP significantly increased the rate of severe complications(Clavien grade 3 or higher)(17.6% vs 4.8%, p = 0.019)and lengthened the hospital stay(19.5 d vs 14.5 d,p = 0.006). A multivariate logistic regression analysis revealed that PAP was an independent risk factor for postoperative pancreatic fistula(OR = 2.91; 95%CI:1.10-7.68; p = 0.032) and severe complications(OR =4.70; 95%CI: 1.48-14.96; p = 0.009) after PD. There was no perioperative mortality.CONCLUSION: PAP significantly increases the incidence of severe complications and lengthens thehospital stay following PD. PD could be safely performed in highly selective patients with PAP. AIM: To investigate the impact of preoperative acute pancreatitis (PAP) on the surgical management of periampullary tumors. METHODS: Fifty-eight patients with periampullary tumors and PAP were retrospectively analyzed. Thirtyfour patients who underwent pancreaticoduodenectomy (PD) and 4 patients who underwent total pancreatectomy were compared with a control group of 145 patients without PAP during the same period. RESULTS: The preoperative waiting time was significantly shorter for the concomitant PAP patients who underwent a resection (22.4 d vs 54.6 d, p <0.001) compared to those who The presence of PAP significantly increased the rate of severe complications (Clavien grade 3 or higher) (17.6% vs 4.8%, p = 0.019) and lengthened the hospital stay (19.5 d vs 14.5 d, p = 0.006). A multivariate logistic regression analysis revealed that PAP was an independent risk factor for postoperative pancreatic fistula (OR = 2.91; 95% CI: 1.10-7.68; p = 0.032) and severe complications 1.48-14.96; p = 0.009) after PD. There was no perioperative mortality. CONCLUSION: PAP significantly increases the incidence of severe complications and lengthens the hospital stay following PD. PD could be safely performed in highly selective patients with PAP.
其他文献
该文通过介绍建立本钢特钢公司的管理信息系统的实例,在数据挖掘技术和决策支持系统研究的基础上,选取某种挖掘方法,将基于数据库的数据挖掘技术应用于企业的生产、销售实践
随着计算机处理能力的提高、高速网络技术的发展、各种数字音频视频设备以及数据压缩技术的不断出现,视频点播(VOD,video-on-demand)等交互式视频服务受到了越来越多的关注。
该文在研究Java2安全体系结构的基础上实现了Applet安全策略的定制,为在网络中文平台上采用代理和负载均衡提供了可能性,并针对该平台的代理和负载均衡所涉及到的一些关键问
近年来,国内外的单片机控制系统产业发展都极为迅速,己经广泛地用于军事、工业、农业、化工、医疗、实验室等各种领域。其中温度是最常见的控制研究对象,在生物技术上、科学研究
针对异常检测模式学习,该文所做的工作及贡献主要有:第一,该文基于正常行为与异常行为概率分布特点的不同,提出一种新的异常行为检测标准-正常度,并在此基础上设计实现了一个
本文对高效应用服务器系统中业务对象管理的索引机制进行了研究。在传统的磁盘数据库中采用的索引结构通常是B树或B树的变种,其目的是减少树的层次,从而减少磁盘I/O的开销。但是
人们往往认为“眼见为实”。在数字时代,数字图像通常可以作为新闻媒体可信的佐证材料。然而,随着图像处理软件(如Adobe Photoshop、CorelDraw、Gimp等)的快速发展,大多数人都可以
随着P2P流媒体的迅速发展,要求P2P应用层组播提供高效的服务质量(QoS)。近几年的研究表明应用层组播路由的QoS对P2P流媒体QoS有非常关键的作用,因此应用层组播的路由的QoS问题
随着空间数据库的快速增长和广泛使用,如何从空间数据中自动地发现空间知识变得越来越重要。本文首先对空间数据挖掘的现状做了一个简要的介绍,展示了几种主要的空间数据挖掘系
亲爱的读者朋友们,春节快乐!千百杂志中我慎重而坚定的选择现代营销信息版,历经数年,一路走来,编读情深,风雨兼程。在全国几千家杂志中率先举办读者节,创业周,于是我们读者有