Laparoscopic pylorus-preserving pancreaticoduodenectomy (LPPPD) is less invasive than open pylorus-preserving pancreaticoduodenectomy. However, LPPPD has a long operation time with pneumoperitoneum, which may affect the postoperative pulmonary complications (PPCs). We retrospectively evaluated the incidence of PPCs and their risk factors in LPPPD. In 191 patients who underwent LPPPD, the incidence of PPCs was 28.8% (n=55). Multivariate logistic regression analysis revealed that the risk factors for PPCs were male sex [odds ratio (OR), 2.518; P=0.008], high body mass index (OR, 1.172; P=0.024), and low preoperative serum albumin level (OR, 0.390; P=0.032). Length of hospital stay was significantly longer in the PPC group than in the no-PPC group [17 (14 to 26) vs. 14 (13 to 18) d, P<0.001]. There was no difference in the incidence of surgical complications between the PPC group and the no-PPC group (14.5% vs. 6.6%, P=0.096). These results provide useful information for perioperative pulmonary management in patients undergoing LPPPD.

In this study, the performance-based evaluation factors for rock slopes have been deducted using Delphimethod. Validity of the result was verified through factor analysis. Performance of rock slope is classified as soundness, stability and durability. Through the Delphi survey, 17 factors including discontinuity orientation are deducted for soundness, 4 factors and 3 factors are selected for stability and durability, respectively. Validation is conducted using Exploratory Factor Analysis (EFA) for 24 factors, and all factors are found to be valid. As a result of Exploratory Factor Analysis (EFA), 3-types of performance were subdivided into internal soundness, external soundness, risk, damage and durability of slopes and protection (reinforcement) facilities.

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