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Short-term Outcomes...
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
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- Korrel, Maarten (författare)
- Univ Amsterdam, Netherlands; Fdn Poliambulanza Hosp, Italy
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- Lof, Sanne (författare)
- Univ Amsterdam, Netherlands; Fdn Poliambulanza Hosp, Italy
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- Al Sarireh, Bilal (författare)
- Morriston Hosp, Wales
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- Björnsson, Bergthor (författare)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
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- Boggi, Ugo (författare)
- Univ Pisa, Italy
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- Butturini, Giovanni (författare)
- Pederzoli Hosp, Italy
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- Casadei, Riccardo (författare)
- St Orsola Marcello Malpighi Hosp, Italy
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- De Pastena, Matteo (författare)
- Verona Univ Hosp, Italy
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- Esposito, Alessandro (författare)
- Verona Univ Hosp, Italy
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- Fabre, Jean Michel (författare)
- Univ Hosp St Eloi, France
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- Ferrari, Giovanni (författare)
- Osped Niguarda Ca Granda, Italy
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- Fteriche, Fadhel Samir (författare)
- Hosp Beaujon, France
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- Fusai, Giuseppe (författare)
- Royal Free Hosp NHS Fdn Trust, England
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- Koerkamp, Bas Groot (författare)
- Erasmus MC Canc Inst, Netherlands
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- Hackert, Thilo (författare)
- Heidelberg Univ Hosp, Germany
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- DHondt, Mathieu (författare)
- Groeninge Hosp, Belgium
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- Jah, Asif (författare)
- Addenbrookes Hosp, England
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- Keck, Tobias (författare)
- Univ Hosp Schleswig Holstein, Germany
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- Marino, Marco V (författare)
- Hosp Osped Riuniti Villa Sofia Cervello, Italy; Abano Terme Gen Hosp, Italy
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- Molenaar, I. Quintus (författare)
- Univ Utrecht, Netherlands; Univ Utrecht, Netherlands
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- Pessaux, Patrick (författare)
- Univ Hosp Strasbourg, France
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- Pietrabissa, Andrea (författare)
- Univ Hosp Pavia, Italy
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- Rosso, Edoardo (författare)
- Fdn Poliambulanza Hosp, Italy; Univ Hosp Strasbourg, France
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- Sahakyan, Mushegh (författare)
- Univ Oslo, Norway; Univ Oslo, Norway; Oslo Univ Hosp, Norway
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- Soonawalla, Zahir (författare)
- Oxford Univ Hosp NHS Fdn Trust, England
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- Souche, Francois Regis (författare)
- Univ Hosp St Eloi, France
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- White, Steve (författare)
- Univ Hosp St Eloi, France
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- Zerbi, Alessandro (författare)
- Humanitas Univ, Italy; Humanitas Res Hosp, Italy
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- Dokmak, Safi (författare)
- Hosp Beaujon, France
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- Edwin, Bjorn (författare)
- Univ Oslo, Norway; Univ Oslo, Norway
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- Abu Hilal, Mohammad (författare)
- Fdn Poliambulanza Hosp, Italy; Southampton Univ Hosp NHS Fdn Trust, England
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- Besselink, Marc (författare)
- Univ Amsterdam, Netherlands
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(creator_code:org_t)
- LIPPINCOTT WILLIAMS & WILKINS, 2023
- 2023
- Engelska.
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Ingår i: Annals of Surgery. - : LIPPINCOTT WILLIAMS & WILKINS. - 0003-4932 .- 1528-1140. ; 277:1, s. E119-E125
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 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
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- distal pancreatectomy; minimally invasive surgery; spleen-preservation
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- 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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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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