Surgical approach and postoperative outcomes after left pancreatectomy (Spandispan prospective project).
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hernández-Roca Belén, Ramia José M, Busquets Juli, Secanella Luis, Peláez Nuria, Alkorta Maialen, Hervas Itziar De Ariño, Achalandabaso Mª Mar, Toledo Enrique, Rotellar Fernando, Marti-Cruchaga Pablo, Gómez-Bravo Miguel Ángel, Suárez Gonzalo, Garcés Marina, Sabater Luis, Plaza Gabriel García, Alcalá Francisco Javier, Asensio Enrique, Pacheco David, Cugat Esteban, Espín Francisco, Galófre María, Sánchez Belinda, Santoyo Julio, Calvo Jorge, Loinaz Carmelo, García Maribel, Sánchez-Cabús Santiago, Martín Belén, Blanco Gerardo, Jaen Isabel, Domingo Carlos, Payá Carmen, González Carmen, Etxebarria Eider, López-Andujar Rafael, Ballester Cristina, Vico Ana Belén, Zambudio Natalia, Estévez Sergio, Nogueira-Sixto Manuel, Miota José Ignacio, Conde Belén, Suárez Miguel Ángel, la Rua Jorge Roldán de, Blanco Angelica, González Manuel, González Pilar Elena, Reyes Betsabé, Ben Santiago López, Tió Berta, Mínguez Javier, Lasa Inmaculada, Miyar Alberto, Solar Lorena, Burdio Fernando, Ielpo Benedetto, Carabias Alberto, Paloma María, Escartín Alfredo, Vela Fulthon, Marqués Elia, Pérez Adelino, Palomares Gloria, Calvo Antonio, Castell José Tomás, Castro María Jesús, Manzanares M Carmen, Artigues Enrique, Blas Juan Luis, Diez Luis, Calero Alicia, Quiñones José E, Rodríguez Mario, Serradilla Mario, Alcazar Cándido
Аннотация
METHODS: A descriptive, observational, prospective, and multicentre study on LP.
STUDY PERIOD: 02/01/2022-02/28/2023.
INCLUSION CRITERIA: Elective LP.
EXCLUSION CRITERIA: LP following pancreaticoduodenectomy, with celiac trunk resection, or performed as an emergency. Major complications (MC): Clavien-Dindo ≥ IIIA.
RESULTS: A total of 41 centres participated, including 313 patients. Women accounted for 53.4%. Mean age: 63.4 years. The most common indications for LP were neuroendocrine tumours (32.6%), pancreatic adenocarcinoma (28%), and IPMN (15.7%). The surgical approach was laparoscopic (53%), open (30.7%), and robotic (16.3%). The most frequently performed techniques were distal splenopancreatectomy (72.2%) and radical antegrade modular pancreatosplenectomy (RAMPS) (14.4%). Complications occurred in 57.5% of patients, with 21.1% classified as MC. The most frequent was PF (38.3%), with 52.5% of PFs classified as B-C (20.1% of the total). The 90-day mortality rate was 1.6%. The use of a protective sleeve and the absence of drains were associated with the absence of PF in multivariate analysis.
CONCLUSION: In our series, the MI approach was significantly higher than expected (70%). The MC rate was 21.1%, and mortality was 1.6%, confirming that LP is a procedure with low mortality but high morbidity.