Distal pancreatectomy: extent of resection determines surgical risk categories
Background: - Recently, subclassification of pancreatoduodenectomy in 4 differing types has been reported, because additional major vascular and multivisceral resections have been shown to be associated with an increased risk of postoperative morbidity and mortality. - Objective...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
March 2024
|
| In: |
Annals of surgery
Year: 2024, Volume: 279, Issue: 3, Pages: 479-485 |
| ISSN: | 1528-1140 |
| DOI: | 10.1097/SLA.0000000000005935 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1097/SLA.0000000000005935 Verlag, kostenfrei, Volltext: https://journals.lww.com/annalsofsurgery/fulltext/2024/03000/distal_pancreatectomy__extent_of_resection.18.aspx 
|
| Author Notes: | Martin Loos, MD, Claudia E. Mack, MD, An Ting L. Xu, Matthias Hassenpflug, MD, Ulf Hinz, MSc, Arianeb Mehrabi, MD, Christoph Berchtold, MD, Martin Schneider, MD, Mohammed Al-Saeedi, MD, Susanne Roth, MD, PhD, Thilo Hackert, MD, and Markus W. Büchler, MD |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1890896179 | ||
| 003 | DE-627 | ||
| 005 | 20240716162441.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240607s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1097/SLA.0000000000005935 |2 doi | |
| 035 | |a (DE-627)1890896179 | ||
| 035 | |a (DE-599)KXP1890896179 | ||
| 035 | |a (OCoLC)1443679576 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Loos, Martin |d 1974- |e VerfasserIn |0 (DE-588)13060044X |0 (DE-627)504175025 |0 (DE-576)298290626 |4 aut | |
| 245 | 1 | 0 | |a Distal pancreatectomy |b extent of resection determines surgical risk categories |c Martin Loos, MD, Claudia E. Mack, MD, An Ting L. Xu, Matthias Hassenpflug, MD, Ulf Hinz, MSc, Arianeb Mehrabi, MD, Christoph Berchtold, MD, Martin Schneider, MD, Mohammed Al-Saeedi, MD, Susanne Roth, MD, PhD, Thilo Hackert, MD, and Markus W. Büchler, MD |
| 264 | 1 | |c March 2024 | |
| 300 | |a 7 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 07.06.2024 | ||
| 520 | |a Background: - Recently, subclassification of pancreatoduodenectomy in 4 differing types has been reported, because additional major vascular and multivisceral resections have been shown to be associated with an increased risk of postoperative morbidity and mortality. - Objective: - To classify distal pancreatectomy (DP) based on the extent of resection and technical difficulty and to evaluate postoperative outcomes with regards to this classification system. - Methods: - All consecutive patients who had undergone DP between 2001 and 2020 in a high-volume pancreatic surgery center were included in this study. DPs were subclassified into 4 distinct categories reflecting the extent of resection and technical difficulty, including standard DP (type 1), DP with venous (type 2), multivisceral (type 3), or arterial resection (type 4). Patient characteristics, perioperative data, and postoperative outcomes were analyzed and compared among the 4 groups. - Results: - A total of 2135 patients underwent DP. Standard DP was the most frequently performed procedure (64.8%). The overall 90-day mortality rate was 1.6%. Morbidity rates were higher in patients with additional vascular or multivisceral resections, and 90-day mortality gradually increased with the extent of resection from standard DP to DP with arterial resection (type 1: 0.7%; type 2: 1.3%; type 3: 3%; type 4: 8.7%; P<0.0001). Multivariable analysis confirmed the type of DP as an independent risk factor for 90-day mortality. - Conclusions: - Postoperative outcomes after DP depend on the extent of resection and correlate with the type of DP. The implementation of the 4-type classification system allows standardized reporting of surgical outcomes after DP improving comparability of future studies. | ||
| 700 | 1 | |a Mack, Claudia |d 1986- |e VerfasserIn |0 (DE-588)1255227583 |0 (DE-627)1799317838 |4 aut | |
| 700 | 1 | |a Xu, An Ting L. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Hassenpflug, Matthias |d 1979- |e VerfasserIn |0 (DE-588)143006827 |0 (DE-627)641429479 |0 (DE-576)334578043 |4 aut | |
| 700 | 1 | |a Hinz, Ulf |e VerfasserIn |0 (DE-588)1022150499 |0 (DE-627)716927748 |0 (DE-576)175505284 |4 aut | |
| 700 | 1 | |a Mehrabi, Arianeb |d 1967- |e VerfasserIn |0 (DE-588)137664583 |0 (DE-627)594829763 |0 (DE-576)304831263 |4 aut | |
| 700 | 1 | |a Berchtold, Christoph |d 1960- |e VerfasserIn |0 (DE-588)122794885 |0 (DE-627)706046595 |0 (DE-576)293423571 |4 aut | |
| 700 | 1 | |a Schneider, Martin |d 1976- |e VerfasserIn |0 (DE-588)12390384X |0 (DE-627)706468147 |0 (DE-576)42325037X |4 aut | |
| 700 | 1 | |a Saeedi, Mohammed al |d 1981- |e VerfasserIn |0 (DE-588)1046246933 |0 (DE-627)776004999 |0 (DE-576)399532498 |4 aut | |
| 700 | 1 | |a Roth, Susanne |d 1981- |e VerfasserIn |0 (DE-588)14180663X |0 (DE-627)631813896 |0 (DE-576)32601764X |4 aut | |
| 700 | 1 | |a Hackert, Thilo |d 1971- |e VerfasserIn |0 (DE-588)122158512 |0 (DE-627)70579346X |0 (DE-576)182659208 |4 aut | |
| 700 | 1 | |a Büchler, Markus W. |d 1955- |e VerfasserIn |0 (DE-588)120893339 |0 (DE-627)080952526 |0 (DE-576)292434146 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Annals of surgery |d [Erscheinungsort nicht ermittelbar] : Lippincott Williams & Wilkins, 1885 |g 279(2024), 3, Seite 479-485 |h Online-Ressource |w (DE-627)313115222 |w (DE-600)2002200-1 |w (DE-576)090881796 |x 1528-1140 |7 nnas |a Distal pancreatectomy extent of resection determines surgical risk categories |
| 773 | 1 | 8 | |g volume:279 |g year:2024 |g number:3 |g pages:479-485 |g extent:7 |a Distal pancreatectomy extent of resection determines surgical risk categories |
| 856 | 4 | 0 | |u https://doi.org/10.1097/SLA.0000000000005935 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u https://journals.lww.com/annalsofsurgery/fulltext/2024/03000/distal_pancreatectomy__extent_of_resection.18.aspx |x Verlag |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20240607 | ||
| 993 | |a Article | ||
| 994 | |a 2024 | ||
| 998 | |g 120893339 |a Büchler, Markus W. |m 120893339:Büchler, Markus W. |d 910000 |d 910200 |e 910000PB120893339 |e 910200PB120893339 |k 0/910000/ |k 1/910000/910200/ |p 12 |y j | ||
| 998 | |g 122158512 |a Hackert, Thilo |m 122158512:Hackert, Thilo |d 50000 |e 50000PH122158512 |k 0/50000/ |p 11 | ||
| 998 | |g 14180663X |a Roth, Susanne |m 14180663X:Roth, Susanne |d 910000 |d 910200 |d 50000 |e 910000PR14180663X |e 910200PR14180663X |e 50000PR14180663X |k 0/910000/ |k 1/910000/910200/ |k 0/50000/ |p 10 | ||
| 998 | |g 1046246933 |a Saeedi, Mohammed al |m 1046246933:Saeedi, Mohammed al |d 910000 |d 910200 |e 910000PS1046246933 |e 910200PS1046246933 |k 0/910000/ |k 1/910000/910200/ |p 9 | ||
| 998 | |g 12390384X |a Schneider, Martin |m 12390384X:Schneider, Martin |p 8 | ||
| 998 | |g 122794885 |a Berchtold, Christoph |m 122794885:Berchtold, Christoph |d 910000 |d 910200 |e 910000PB122794885 |e 910200PB122794885 |k 0/910000/ |k 1/910000/910200/ |p 7 | ||
| 998 | |g 137664583 |a Mehrabi, Arianeb |m 137664583:Mehrabi, Arianeb |d 910000 |d 910200 |d 50000 |e 910000PM137664583 |e 910200PM137664583 |e 50000PM137664583 |k 0/910000/ |k 1/910000/910200/ |k 0/50000/ |p 6 | ||
| 998 | |g 1022150499 |a Hinz, Ulf |m 1022150499:Hinz, Ulf |d 910000 |d 910200 |e 910000PH1022150499 |e 910200PH1022150499 |k 0/910000/ |k 1/910000/910200/ |p 5 | ||
| 998 | |g 143006827 |a Hassenpflug, Matthias |m 143006827:Hassenpflug, Matthias |d 910000 |d 910200 |e 910000PH143006827 |e 910200PH143006827 |k 0/910000/ |k 1/910000/910200/ |p 4 | ||
| 998 | |g 1255227583 |a Mack, Claudia |m 1255227583:Mack, Claudia |d 910000 |d 910200 |e 910000PM1255227583 |e 910200PM1255227583 |k 0/910000/ |k 1/910000/910200/ |p 2 | ||
| 998 | |g 13060044X |a Loos, Martin |m 13060044X:Loos, Martin |d 910000 |d 910200 |e 910000PL13060044X |e 910200PL13060044X |k 0/910000/ |k 1/910000/910200/ |p 1 |x j | ||
| 999 | |a KXP-PPN1890896179 |e 4535613176 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"note":["Gesehen am 07.06.2024"],"recId":"1890896179","name":{"displayForm":["Martin Loos, MD, Claudia E. Mack, MD, An Ting L. Xu, Matthias Hassenpflug, MD, Ulf Hinz, MSc, Arianeb Mehrabi, MD, Christoph Berchtold, MD, Martin Schneider, MD, Mohammed Al-Saeedi, MD, Susanne Roth, MD, PhD, Thilo Hackert, MD, and Markus W. Büchler, MD"]},"relHost":[{"origin":[{"dateIssuedDisp":"1885-","publisherPlace":"[Erscheinungsort nicht ermittelbar] ; [Erscheinungsort nicht ermittelbar]","publisher":"Lippincott Williams & Wilkins ; Ovid","dateIssuedKey":"1885"}],"id":{"eki":["313115222"],"issn":["1528-1140"],"zdb":["2002200-1"]},"type":{"media":"Online-Ressource","bibl":"periodical"},"language":["eng"],"title":[{"title_sort":"Annals of surgery","subtitle":"a monthly review of surgical science and practice","title":"Annals of surgery"}],"physDesc":[{"extent":"Online-Ressource"}],"part":{"issue":"3","year":"2024","extent":"7","pages":"479-485","text":"279(2024), 3, Seite 479-485","volume":"279"},"disp":"Distal pancreatectomy extent of resection determines surgical risk categoriesAnnals of surgery","pubHistory":["1.1885 -"],"note":["Gesehen am 26.09.18"],"recId":"313115222"}],"person":[{"role":"aut","family":"Loos","display":"Loos, Martin","given":"Martin"},{"role":"aut","given":"Claudia","display":"Mack, Claudia","family":"Mack"},{"given":"An Ting L.","family":"Xu","display":"Xu, An Ting L.","role":"aut"},{"family":"Hassenpflug","display":"Hassenpflug, Matthias","given":"Matthias","role":"aut"},{"role":"aut","given":"Ulf","family":"Hinz","display":"Hinz, Ulf"},{"display":"Mehrabi, Arianeb","family":"Mehrabi","given":"Arianeb","role":"aut"},{"role":"aut","given":"Christoph","family":"Berchtold","display":"Berchtold, Christoph"},{"given":"Martin","family":"Schneider","display":"Schneider, Martin","role":"aut"},{"role":"aut","given":"Mohammed al","display":"Saeedi, Mohammed al","family":"Saeedi"},{"family":"Roth","display":"Roth, Susanne","given":"Susanne","role":"aut"},{"role":"aut","given":"Thilo","display":"Hackert, Thilo","family":"Hackert"},{"role":"aut","family":"Büchler","display":"Büchler, Markus W.","given":"Markus W."}],"title":[{"title_sort":"Distal pancreatectomy","title":"Distal pancreatectomy","subtitle":"extent of resection determines surgical risk categories"}],"physDesc":[{"extent":"7 S."}],"origin":[{"dateIssuedDisp":"March 2024","dateIssuedKey":"2024"}],"id":{"doi":["10.1097/SLA.0000000000005935"],"eki":["1890896179"]},"language":["eng"],"type":{"media":"Online-Ressource","bibl":"article-journal"}} | ||
| SRT | |a LOOSMARTINDISTALPANC2024 | ||