Perioperative outcomes of fast track pancreaticoduodenectomy for periampullary malignancy

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Longterm survival after pancreaticoduodenectomy for periampullary adenocarcinomas.

OBJECTIVES The aim of this study was to identify predictors for longterm survival following pancreaticoduodenectomy (PD) for pancreatic and other periampullary adenocarcinomas. METHODS Clinicopathological factors were compared between short-term (<5 years) and longterm (≥ 5 years) survival groups. Rates of actual 5-year and actuarial 10-year survival were determined. RESULTS There were 109 ...

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Fast-track Surgery – a New Concept - the Perioperative Anesthetic Management -

The continuously growing pressure upon medical systems as a result of the increasing number of patients who need a surgical procedure and as a result of the economical restrains lead to the development of a new concept: fast-track surgery. This concept brings together different perioperative strategies which according to evidence-based medicine are useful strategies. The goal of the concept is ...

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Trends and outcomes of pancreaticoduodenectomy for periampullary tumors: A 25-year single-center study of 1000 consecutive cases

AIM To evaluate the evolution, trends in surgical approaches and reconstruction techniques, and important lessons learned from performing 1000 consecutive pancreaticoduodenectomies (PDs) for periampullary tumors. METHODS This is a retrospective review of the data of all patients who underwent PD for periampullary tumor during the period from January 1993 to April 2017. The data were categoriz...

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Minimally invasive pancreaticoduodenectomy for periampullary disease: a comprehensive review of literature and meta-analysis of outcomes compared with open surgery

BACKGROUND Minimally invasive pancreatoduodenectomy (MIPD) has been gradually attempted. However, whether MIPD is superior, equal or inferior to its conventional open pancreatoduodenectomy (OPD) is not clear. METHODS Studies published up to May 2017 were searched in PubMed, Embase, Cochrane Library, and Web of Science. Main outcomes were comprehensively reviewed and measured including convers...

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A fast track recovery program significantly reduces hospital length of stay following uncomplicated pancreaticoduodenectomy.

CONTEXT Factors affecting length of hospital stay after uncomplicated pancreaticoduodenectomy have not been reported. We hypothesized that patients undergoing uncomplicated pancreaticoduodenectomy treated by fast track recovery program would have a shorter length of hospital stay compared to those managed by a standard program. METHODS Patients without surgical or medical complications follow...

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ژورنال

عنوان ژورنال: HPB

سال: 2018

ISSN: 1365-182X

DOI: 10.1016/j.hpb.2018.06.2200