Impact factors for perioperative morbidity and mortality and repercussion of perioperative morbidity and long-term survival in pancreatic head resection

Potrč, Stojan; Ivanecz, Arpad; Pivec, Vid; Marolt, Urška; Rudolf, Saša; Iljevec, Bojan; Jagrič, Tomaž

doi:10.1515/raon-2017-0036

Cited by 5 publications

(6 citation statements)

References 62 publications

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“…• При поcлеоперационном неинтенсивном кровотечении рекомендовано проведение консервативной терапии, направленной на коррекцию гемодинамики и системы гемостаза. Для уточнения источника кровотечения следует выполнить КТ с контрастированием и/или ангиографию [193][194][195][196][197][198].…”

Section: внутрибрюшное и кишечное кровотеченияunclassified

“…При обнаружении во время ангиографического исследования кровоточащей артерии рекомендовано выполнение эндоваскулярного гемостаза [193][194][195][196][197][198].…”

Section: внутрибрюшное и кишечное кровотеченияunclassified

“…При кровотечении из мягких тканей и при отсутствии панкреонекроза, некротического парапанкреатита возможно обеспечить гемостаз за счет прошивания. При аррозивном кровотечении из магистральных сосудов (мезентерикопортальный ствол, селезеночная вена, артерии бассейна чревного ствола и верхней брыжеечной артерии), возникшем в результате послеоперационного панкреонекроза, возможно выполнение панкреатэктомии и спленэктомии [193][194][195][196][197][198].…”

Section: внутрибрюшное и кишечное кровотеченияunclassified

“…• Всем пациентам, готовящимся к хирургическому вмешательству по поводу ХП, рекомендовано проведение профилактики инфекционных осложнений антибактериальными лекарственными препаратами широкого спектра действия за 30 мин до хирургического вмешательства (при отсутствии медицинских противопоказаний) [195,201,202].…”

Section: медицинская реабилитация медицинские показания и противопока...unclassified

“…Уровень убедительности рекомендаций -С. Уровень достоверности доказательств -4. [195,[202][203][204].…”

Section: медицинская реабилитация медицинские показания и противопока...unclassified

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Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis

Кригер

Okhlobystin

et al. 2022

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Aim: to present modern methods of diagnosis and treatment of chronic pancreatitis for gastroenterologists, general practitioners and physicians.Chronic pancreatitis (CP) is a long-term inflammatory disease of the pancreas, manifested by irreversible morphological changes in the parenchyma and pancreatic ducts, which cause pain and/or persistent impairment of function. Current concept on the etiology of CP is reflected by the TIGAR-O classification. The criteria for establishing the diagnosis of CP include typical attacks of abdominal pain and/or clinical and laboratory signs of exocrine, endocrine insufficiency with the mandatory detection of characteristic morphological changes (calcifications in the parenchyma and pancreatic ductal stones, dilatation of the main pancreatic duct and its branches). CT, MRCP, and pancreatobiliary endosonography are recommended as the methods of choice to verify the diagnosis of CP. Conservative treatment of patients with CP is provided for symptom relief and prevention of complications. Individual cases with severe non-interactable abdominal pain, as well as a complicated course of the disease (development of ductal hypertension due to main pancreatic duct stones or strictures, obstructive jaundice caused by compression of the common bile duct, symptomatic postnecrotic cysts, portal hypertension due to compression of the portal vein or thrombosis of the splenic vein, persistent duodenal obstruction, pseudoaneurysm of the celiac trunk basin and the superior mesenteric artery) serve as an indication for endoscopic or surgical treatment. The Guidelines set out modern approaches to the diagnosis, conservative, endoscopic and surgical treatment of CP, and the prevention of its complications.Conclusion. The implementation of clinical guidelines can contribute to the timely diagnosis and improve the quality of medical care for patients with chronic pancreatitis.

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Section: внутрибрюшное и кишечное кровотеченияunclassified

Section: медицинская реабилитация медицинские показания и противопока...unclassified

“…Уровень убедительности рекомендаций -С. Уровень достоверности доказательств -4. [195,[202][203][204].…”

Section: медицинская реабилитация медицинские показания и противопока...unclassified

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Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis

Кригер

Okhlobystin

et al. 2022

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Intraductal Papillary Mucinous Neoplasm

Fong

Castillo

2021

Clinical Pancreatology for Practising Gastroenterologists and Surgeons

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Open and laparoscopic approaches are associated with comparable 90-day morbidity and mortality following ERAS protocol

Vasavada

Patel

2020

Preprint

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Introduction: Aim of study to evaluate 90 days mortality and morbidity after ERAS protocol and also weather there is any difference in morbidity and mortality between Open and Laparoscopic surgeries. Material and Methods: All the gastrointestinal surgeries performed between April 2016 to march 2019 in our institution have been analysed for morbidity and mortality after ERAS protocols and data was collected prospectively. Results: We performed 245 gastrointestinal and hepato-biliary surgeries between April 2016 to march 2019. Mean age of patients was 50.96 years. 135 were open surgeries and 110 were laparoscopic surgeries. Mean ASA score was 2.40, mean operative time was 111 minutes, mean CDC grade of surgery was 2.56. 40 were emergency surgeries and 205 were elective surgeries. Overall 90 days mortality rate was 8.5% and over all morbidity rate was around 9.79% . On univariate analysis morbidity was associated significantly with higher CDC grade of surgeries, higher ASA grade, more operative time, more blood products use, more hospitalstay, open surgeries,HPB surgeries and luminal surgeries(non hpb gastrointestinal surgeries) were associated with higher 90 days morbidity. On multivariate analysis no factors independently predicted morbidity. On univariate analysis 90 days mortality was predicted by grade of surgeries, higher ASA grade, more operative time, more blood products use, open surgeries and emergency surgeries. However on multivariate analysis only more blood products used was independently associated with mortality Conclusion: There is no difference between 90 day mortality and moribidity rates between open and laparoscopic surgeries.

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Impact factors for perioperative morbidity and mortality and repercussion of perioperative morbidity and long-term survival in pancreatic head resection

Cited by 5 publications

References 62 publications

Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis

Clinical Guidelines of the Russian Society of Surgeons, the Russian Gastroenterological Association, the Association of Surgeons-Hepatologists and the Endoscopic Society “REndO” on Diagnostics and Treatment of Chronic Pancreatitis

Intraductal Papillary Mucinous Neoplasm

Open and laparoscopic approaches are associated with comparable 90-day morbidity and mortality following ERAS protocol

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