Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical review.
Revolutionary transformation lowering the mortality of pancreaticoduodenectomy: a historical review.
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降低胰十二指肠切除术死亡率的革命性转变：历史回顾。
DOI：
10.1136/egastro-2023-100014
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Harmon,JohnW
中科院分区：
文献类型：
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作者：
ChangWu,Bo;Wlodarczyk,Jakub;NourmohammadiAbadchi,Sanaz;Shababi,Niloufar;Cameron,JohnL;Harmon,JohnW
这篇历史创造者的论文重点介绍了20世纪80年代极大地改善了惠普尔手术(胰腺十二指肠切除术)手术结果的非凡革命，并指出卡梅伦博士是这场革命的领导者，他报告的死亡率约为1%。随着大容量外科医生和医院的发展，坚持温和而精确的Halstedian外科技术、充分引流胰肠-空肠吻合术和闭式吸引性硅胶引流管，革命性地降低了Whiple手术的术后死亡率。患者护理方面出色的团队合作，包括但不限于多学科团队的术前评估、术中外科医生和麻醉师之间的沟通以及术后管理，有助于成功地进行惠普尔手术。
The History Maker paper focuses on the extraordinary revolution that dramatically improved the surgical results for the Whipple procedure (pancreaticoduodenectomy) in the 1980s and identifies Dr. Cameron as the leader of this revolution, who reported a mortality rate of approximately 1%. The revolutionary reduction of postoperative mortality for the Whipple procedure was achieved by adherence to gentle and precise Halstedian surgical techniques with adequate drainage of pancreatico-jejunal anastomosis with closed-suction silastic drains, along with the development of high-volume surgeons and hospitals. Excellent teamwork in patient care, including but not limited to preoperative evaluation by multidisciplinary teams, intraoperative communication between surgeons and anaesthesiologists, and postoperative management, contributed to a successful Whipple procedure.