Minimally invasive pancreatectomy with mesentericoportal venous resection: Results from a French national cohort.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Karam Elias, de Ponthaud Charles, Nassar Alexandra, Pastier Clément, Castel Antoine, Mazzotta Alessandro, Souche François-Régis, Rhaiem Rami, Jolly Elsa, Garnier Jonathan, Fara Régis, Viennet Manon, Giannone Fabio, Gagnière Johan, Borie Frédéric, Boubaddi Mehdi, Schwarz Lilian, Louis-Gaubert Clément, Pattou François, Meurisse Nicolas, Lubrano Jean, Valverde Alain, Pittau Gabriella, Doussot Alexandre, Ragot Emilia, Bigourdan Jean-Marc, Pinto Amandine, Véziant Julie, Laurent Alexis, El Amrani Mehdi, Girard Edouard, Dembinski Jeanne, Bucur Petru, Addeo Pietro, Charlaix Ana L, Lermite Emilie, Paye François, Darnis Benjamin, Danion Jérôme, Birnbaum David J, Jouffret Lionel, Lupinacci Renato M, Brunaud Laurent, Brunel Martin, Zemour Johanna, Vece Rodolfo R, Piardi Tullio, David Patrice, Le Bian Alban Z, Cunha Antonio S, Corté Héléne, Mahfouf Samir, Kianmanesh Reza, Muscari Fabrice, Sulpice Laurent, Sauvanet Alain, Fuks David, Saint-Marc Olivier, Dokmak Safi, Gaujoux Sébastien, AFC-2023 study group, Bertrand Thibaud, de Martino Julien, Rousseau Géraldine, Scatton Olivier, Nepi Angelica, David Chloé, Marchese Ugo, Naveendran Gaanan, Tzedakis Stylianos, Duval-Binet Ambroise, Santos Barreira Rodrigues Samuel D, De Rosa Raffaele, Soubrane Olivier, Barra Morgane, Tribillon Ecoline, Fabre Jean-Michel, Bardol Thomas, Carrère Nicolas, Maulat Charlotte, Palen Anaïs, Ewald Jacques, Turrini Olivier, Leclerc Julie, Ayav Ahmet, Lequeu Jean-Baptiste, Kuperas Cyrille, Facy Olivier, Pessaux Patrick, Kock Arne, Noirault Marie, Buc Emmanuel, Aboukassem Adnan, Bertrand Martin, Marichez Arthur, Laurent Christophe, Chiche Laurence, Papet Eloïse, Pinson Jean, Monge Matthieu, Regenet Nicolas, Caiazzo Robert, Marcelle Jérôme, Vandermeulen Morgane, De Roover Arnaud, Lacroix Coralie, Bensignor Thierry, Goasguen Nicolas, Pietrasz Daniel, Accardo Caterina, Turco Célia, Heyd Bruno, Karoui Mehdi, Vix Jean, Gouader Amine, Gailleton Régis, Daskaliuk Oktavian, Piessen Guillaume, Bonnin Eloïse, Cherif Rim, Bianchi Giorgio, Zerbib Philippe, Saudemont Alain, Truant Stéphanie, Abba Julio, Chirica Mircea, Léourier Pauline, Regimbeau Jean-Marc, Salamé Ephrem, Bachelier Philippe, Bougard Marie, Deyrat Julie, Vuillermet Cindy, Boullenois Hortense, David Marie, Faure Jean-Pierre, Moutardier Vincent, Scesa Jean-Luc, Bouquot Morgane, Khayat Abdallah I, Lazaar Hatim, Thébault Baudoin, Le Roy Betrand, Deheppe Jérôme, Sauvanet Pierre, Thereaux Jérémie, Mayet Audrey, Badic Bogdan, de Carbonnière Anne, Gugenheim Jean, Tresallet Christophe, Chamakhi Amine, Chreim Laura, André Marie
Аннотация
METHODS: Multicentric retrospective cohort of MI pancreatoduodenectomy (MIPD) and left pancreatectomy (MILP) with or without VR between 2010 and 2021. Propensity score matching analysis stratified on age, sex, BMI, pancreas texture, tumor type, ASA score, conversion and surgical approach was performed.
RESULTS: After matching, 234 MIPD were included, 78 (33.3%) with and 156 (66.7%) without VR. VR had greater blood loss (400 vs 300 mL; p = 0.033) and operative time (471 vs 430 min; p = 0.012). VR had 10.3% mortality compared to 4.5% (p = 0.097), similar severe morbidity (30.8% vs 37.8%: p = 0.313) and R0 resection rate (84.9% vs 90.8%: p = 0.252). After matching, 275 MILP, 25 (9%) with and 250 (91%) without VR were compared. VR had greater blood loss (350 vs 150mL; p = 0.019) and operative time (300 vs 240 min; p = 0.005). VR had 8% mortality versus 2% (p = 0.126), 19.2% severe morbidity versus 8% (p = 0.274) and lower R0 resection rate (58.3% vs 94.9%; p <0.001).
CONCLUSION: MIPR with VR has non-significant increased postoperative mortality, lower R0 resection rate and therefore cannot be considered as a standard of care.