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Short-term Outcomes...
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Korrel, MaartenUniv Amsterdam, Netherlands; Fdn Poliambulanza Hosp, Italy
(författare)
Short-term Outcomes After Spleen-preserving Minimally Invasive Distal Pancreatectomy With or Without Preservation of Splenic Vessels A Pan-European Retrospective Study in High-volume Centers
- Artikel/kapitelEngelska2023
Förlag, utgivningsår, omfång ...
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LIPPINCOTT WILLIAMS & WILKINS,2023
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-191379
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-191379URI
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https://doi.org/10.1097/SLA.0000000000004963DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Objective:To compare short-term clinical outcomes after Kimura and Warshaw MIDP. Background:Spleen preservation during distal pancreatectomy can be achieved by either preservation (Kimura) or resection (Warshaw) of the splenic vessels. Multicenter studies reporting outcomes of Kimura and Warshaw spleen-preserving MIDP are scarce. Methods:Multicenter retrospective study including consecutive MIDP procedures intended to be spleen-preserving from 29 high-volume centers (>= 15 distal pancreatectomies annually) in 8 European countries. Primary outcomes were secondary splenectomy for ischemia and major (Clavien-Dindo grade >= III) complications. Sensitivity analysis assessed the impact of excluding ("rescue") Warshaw procedures which were performed in centers that typically (>75%) performed Kimura MIDP. Results:Overall, 1095 patients after MIDP were included with successful splenic preservation in 878 patients (80%), including 634 Kimura and 244 Warshaw procedures. Rates of clinically relevant splenic ischemia (0.6% vs 1.6%, P = 0.127) and major complications (11.5% vs 14.4%, P = 0.308) did not differ significantly between Kimura and Warshaw MIDP, respectively. Mortality rates were higher after Warshaw MIDP (0.0% vs 1.2%, P = 0.023), and decreased in the sensitivity analysis (0.0% vs 0.6%, P = 0.052). Kimura MIDP was associated with longer operative time (202 vs 184 minutes, P = 0.033) and less blood loss (100 vs 150 mL, P < 0.001) as compared to Warshaw MIDP. Unplanned splenectomy was associated with a higher conversion rate (20.7% vs 5.0%, P < 0.001). Conclusions:Kimura and Warshaw spleen-preserving MIDP provide equivalent short-term outcomes with low rates of secondary splenectomy and postoperative morbidity. Further analyses of long-term outcomes are needed.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Lof, SanneUniv Amsterdam, Netherlands; Fdn Poliambulanza Hosp, Italy
(författare)
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Al Sarireh, BilalMorriston Hosp, Wales
(författare)
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Björnsson, BergthorLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)berbj34
(författare)
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Boggi, UgoUniv Pisa, Italy
(författare)
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Butturini, GiovanniPederzoli Hosp, Italy
(författare)
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Casadei, RiccardoSt Orsola Marcello Malpighi Hosp, Italy
(författare)
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De Pastena, MatteoVerona Univ Hosp, Italy
(författare)
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Esposito, AlessandroVerona Univ Hosp, Italy
(författare)
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Fabre, Jean MichelUniv Hosp St Eloi, France
(författare)
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Ferrari, GiovanniOsped Niguarda Ca Granda, Italy
(författare)
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Fteriche, Fadhel SamirHosp Beaujon, France
(författare)
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Fusai, GiuseppeRoyal Free Hosp NHS Fdn Trust, England
(författare)
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Koerkamp, Bas GrootErasmus MC Canc Inst, Netherlands
(författare)
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Hackert, ThiloHeidelberg Univ Hosp, Germany
(författare)
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DHondt, MathieuGroeninge Hosp, Belgium
(författare)
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Jah, AsifAddenbrookes Hosp, England
(författare)
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Keck, TobiasUniv Hosp Schleswig Holstein, Germany
(författare)
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Marino, Marco VHosp Osped Riuniti Villa Sofia Cervello, Italy; Abano Terme Gen Hosp, Italy
(författare)
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Molenaar, I. QuintusUniv Utrecht, Netherlands; Univ Utrecht, Netherlands
(författare)
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Pessaux, PatrickUniv Hosp Strasbourg, France
(författare)
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Pietrabissa, AndreaUniv Hosp Pavia, Italy
(författare)
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Rosso, EdoardoFdn Poliambulanza Hosp, Italy; Univ Hosp Strasbourg, France
(författare)
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Sahakyan, MusheghUniv Oslo, Norway; Univ Oslo, Norway; Oslo Univ Hosp, Norway
(författare)
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Soonawalla, ZahirOxford Univ Hosp NHS Fdn Trust, England
(författare)
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Souche, Francois RegisUniv Hosp St Eloi, France
(författare)
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White, SteveUniv Hosp St Eloi, France
(författare)
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Zerbi, AlessandroHumanitas Univ, Italy; Humanitas Res Hosp, Italy
(författare)
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Dokmak, SafiHosp Beaujon, France
(författare)
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Edwin, BjornUniv Oslo, Norway; Univ Oslo, Norway
(författare)
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Abu Hilal, MohammadFdn Poliambulanza Hosp, Italy; Southampton Univ Hosp NHS Fdn Trust, England
(författare)
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Besselink, MarcUniv Amsterdam, Netherlands
(författare)
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Univ Amsterdam, Netherlands; Fdn Poliambulanza Hosp, ItalyMorriston Hosp, Wales
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Annals of Surgery: LIPPINCOTT WILLIAMS & WILKINS277:1, s. E119-E1250003-49321528-1140
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Till lärosätets databas
- Av författaren/redakt...
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Korrel, Maarten
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Lof, Sanne
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Al Sarireh, Bila ...
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Björnsson, Bergt ...
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Boggi, Ugo
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Butturini, Giova ...
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visa fler...
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Casadei, Riccard ...
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De Pastena, Matt ...
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Esposito, Alessa ...
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Fabre, Jean Mich ...
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Ferrari, Giovann ...
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Fteriche, Fadhel ...
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Fusai, Giuseppe
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Koerkamp, Bas Gr ...
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Hackert, Thilo
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DHondt, Mathieu
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Jah, Asif
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Keck, Tobias
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Marino, Marco V
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Molenaar, I. Qui ...
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Pessaux, Patrick
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Pietrabissa, And ...
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Rosso, Edoardo
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Sahakyan, Musheg ...
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Soonawalla, Zahi ...
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Souche, Francois ...
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White, Steve
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Zerbi, Alessandr ...
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Dokmak, Safi
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Edwin, Bjorn
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Abu Hilal, Moham ...
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Besselink, Marc
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