Prediction of operative morbidity after pancreatic resection.
Prediction of operative morbidity after pancreatic resection.
复制标题
胰腺切除术后手术发病率的预测。
DOI：
10.5754/hge11705
复制
发表时间：
2013
影响因子：
--
通讯作者：
H. Baba
中科院分区：
文献类型：
--
作者：
D. Hashimoto;H. Takamori;Masahiko Hirotaz;H. Baba
背景/目的
BACKGROUND/AIMS
In spite of advances in surgical techniques and perioperative management, morbidity rates after pancreatic resection have not reduced. The aim of this study was to evaluate whether the Estimation of Physiologic Ability and Surgical Stress (E-PASS) scoring system could predict complications after pancreatic resection, comparing pancreaticoduodenectomy (PD) with distal pancreatectomy (DP).
METHODOLOGY
We performed PD in 77 patients, and DP in 50. We evaluated correlations between morbidity after pancreatic resection and the preoperative risk score (PRS), surgical stress score (SSS) and comprehensive risk score (CRS) of the E-PASS scoring system.
RESULTS
Except for postoperative pancreatic fistula (POPF), complications after PD were significantly more frequent than those after DP. SSS and CRS in PD group were significantly higher than in DP group.
CONCLUSIONS
Except for POPF, complications after pancreatic resection could be predicted using SSS and CRS of the E-PASS scoring.