Postpancreatectomy Complications and Management

被引：58

作者：

Malleo, Giuseppe ^{[1
]}

Vollmer, Charles M., Jr. ^{[2
]}

机构：

[1] Univ Verona Hosp Trust, Unit Gen & Pancreat Surg, Dept Surg & Oncol, Pancreas Inst, PLe LA Scuro 10, I-37134 Verona, Italy

[2] Univ Penn, Dept Surg, Perelman Sch Med, 3400 Spruce St, Philadelphia, PA 19104 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2016年 / 96卷 / 06期

关键词：

Pancreatic resection; Postoperative complications; Pancreatic fistula; Delayed gastric emptying; Postpancreatectomy hemorrhage; INTERNATIONAL STUDY-GROUP; PYLORUS-PRESERVING PANCREATICODUODENECTOMY; POSTOPERATIVE PANCREATIC FISTULA; PROSPECTIVE-RANDOMIZED-TRIAL; GASTRIC-EMPTYING DGE; CLINICAL RISK SCORE; HIGH-VOLUME CENTER; SURGERY ISGPS; CLASSIFICATION SCHEME; EXTERNAL VALIDATION;

D O I：

10.1016/j.suc.2016.07.013

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Although mortality rates after pancreatectomy have decreased, the incidence of postoperative morbidity remains high. The major procedure related complications are pancreatic fistula, delayed gastric emptying, and postpancreatectomy hemorrhage. The International Study Group of Pancreatic Surgery defined leading complications in a standardized fashion, allowing unbiased comparison of operative results and management strategies. Risk factors for postoperative complications have been investigated and quantitative scoring systems established to estimate patient-specific risks. Management of postpancreatectomy complications has shifted from an operative to a conservative approach. Nevertheless, postoperative morbidities may have a profound impact on patient recovery and length of hospital stay and are associated with increased hospital costs.

引用

页码：1313 / +

页数：25

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