Advances in Surgical Management of Pancreatic Diseases

被引:7
作者
Datta, Jashodeep [1 ]
Vollmer, Charles M., Jr. [1 ]
机构
[1] Univ Penn, Dept Surg, Perelman Sch Med, Div Gastrointestinal Surg, 3400 Spruce St, Philadelphia, PA 19104 USA
关键词
Surgery; Pancreas; Minimally invasive; Pancreatic cancer; Chronic pancreatitis; Pancreatic fistula; Postoperative Morbidity Index; Pancreatic cystic neoplasm; POSTOPERATIVE MORBIDITY INDEX; INTERNATIONAL-CONSENSUS-GUIDELINES; SEVERITY GRADING SYSTEM; INFECTED NECROTIZING PANCREATITIS; FISTULA FOLLOWING PANCREATECTOMY; INVASIVE DISTAL PANCREATECTOMY; PAPILLARY MUCINOUS NEOPLASMS; QUALITY IMPROVEMENT PROGRAM; STEP-UP APPROACH; RISK-SCORE;
D O I
10.1016/j.gtc.2015.10.002
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The surgical management of pancreatic diseases is rapidly evolving, encompassing advances in evidence-driven selection of patients amenable for surgical therapy, preoperative risk stratification, refinements in the technical conduct of pancreatic operations, and quantification of postoperative morbidity. These advances have resulted in dramatic reductions in mortality following pancreatic surgery, particularly at high-volume pancreatic centers. Surgical decision making is complex, and requires an intimate understanding of disease pathobiology, host physiology, technical considerations, and evolving trends. This article highlights key developments in the contemporary surgical management of pancreatic diseases.
引用
收藏
页码:129 / +
页数:17
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