Drain Management After Pancreatectomy
Authors Year Study design Procedure Variable Sample size Morbiditya (%) Pancreatic fistulab (%) Re-drainage (%) Reoperation (%) Readmission (%) Mortality (%) Conlon et al. [11] 2001 RCT PD and DP…
ONCOLOGY
Enhanced Recovery Program After Pancreatectomy
Fig. 35.1 ERAS elements [32] Major abdominal surgery induces an immune-inflammatory response, which is accompanied by the production of reactive oxygen species (ROS) at the site of injury causing direct…
Late Metabolic Complications After Pancreatectomy
T1DM T2DM Pancreatogenic DM Hormone levels Insulin Low High Low/absent Glucagon Normal/high Normal/high Low/absent Pancreatic polypeptide Normal/low (late) High Low Insulin sensitivity Peripheral Normal/high Low High Hepatic Normal Normal/low…
Delayed Gastric Emptying
Author Lin Seiler Tran Seiler Year 1999 2000 2004 2005 Country Taiwan Switzerland Netherlands Switzerland Operation (PD/PPPD) 15/16 49/37 83/87 66/64 Operation time (minutes) PD 237 476 200 449 PPPD…
Minimally Invasive Surgery for Pancreatic Cancer
Type of procedure Shin et al. [18] Magge et al. [17] Kooby et al. [16] Inclusion period 2006–2013 2002–2010 2000–2008 Patients, n LDP 70 28 23 ODP 80 34…
Organ-Preserving Pancreatectomy
Indicated disease Conditions MCN <4 cm without mural nodules IPMN Branch duct type Asymptomatic No elevation of CA19-9 Cyst size over 2 cm No mural nodules SPN Well-demarcated small mass…
Robotic Application for Pancreatectomy
Advantages of robotic surgery Disadvantages of robotic surgery 3D binocular vision Loss of haptic feedback Increased dexterity Expensive, high maintenance costs 7 degrees of freedom High start-up costs Near 540-degree…
Laparoscopic Distal Pancreatectomy in Pancreatic Cancer
Outcomes Illustrative comparative risksa (95% CI) Relative effect (95% CI) Number of participants (studies) Quality of evidence (GRADE) Assumed risk Corresponding risk Open distal pancreatectomy Laparoscopic distal pancreatectomy Short-term mortality…
Artery-First Approach for Pancreatic Cancer
Fig. 18.1 Demonstrating the six approaches to the SMA. S superior approach, P posterior approach, R right/medial uncinate approach, M mesenteric approach, L left posterior approach, A anterior approach 18.1.1.1…
Major Vascular Resection in Pancreatic Carcinoma
Resectability status Arterial Venous Resectable No arterial tumor contact No tumor contact with the superior mesenteric vein (SMV) or portal vein (PV) or ≤180° contact without vein contour irregularity Borderline…
