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Comparison of Results between Pylorus-Preserving Pancreaticoduodenectomy and Subtotal Stomach-Preserving Pancreaticoduodenectomy: Report at a Single Cancer Institute
http://hdl.handle.net/10069/33981
http://hdl.handle.net/10069/33981bef0f761-1f20-4700-84b3-a64b1c4bb311
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
HepGas60_1182.pdf (433.0 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2014-08-01 | |||||
| タイトル | ||||||
| タイトル | Comparison of Results between Pylorus-Preserving Pancreaticoduodenectomy and Subtotal Stomach-Preserving Pancreaticoduodenectomy: Report at a Single Cancer Institute | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Delayed gastric empty | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Nutritional status | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Pancreaticoduodenectomy | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
Nanashima, Atsushi
× Nanashima, Atsushi× Abo, Takafumi× Sumida, Yorihisa× Tobinaga, Syuuichi× Nonaka, Takashi× Takeshita, Hiroaki× Hidaka, Shigekazu× Sawai, Terumitsu× Yasutake, Toru× Nagayasu, Takeshi |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background/Aims: Pylorus-preserving pancreaticoduodenectomy (PPPD) has the advantage of achieving good nutritional status postoperatively, but delayed gastric empty (DGE) is a frequent complication leading to a longer fasting period. Subtotal stomachpreserving pancreaticoduodenectomy (SSPPD) is an alternative option to preserve nutritional status and shorten the fasting period. We retrospectively compared clinical results between PPPD and SSPPD. Methodology: PPPD was performed in 28 patients and SSPPD in 27, between 2000 and 2009. Results: Pancreatic carcinoma was more frequent in the SSPPD group (p = 0.041). Operating time was longer in the SSPPD group (610 min) than in the PPPD group (540 min; p = 0.031). Blood loss was greater in the SSPPD group (1810 mL) than in the PPPD group (1306 mL; p = 0.048). Period of NG intubation and fasting period were shorter in the SSPPD group (6 days and 9 days, respectively) compared to the PPPD group (15 days and 19 days, respectively; p <0.01 each). Severe DGE was 7% in the SSPPD group and 46% in the PPPD group (p <0.01). Postoperative complications and nutritional status in the early period did not differ between groups, although incidence of fatty liver was higher in the SSPPD group (78%) than in the PPPD group (25%; p <0.01). Conclusions: SSPPD is a useful alternative for pancreaticoduodenectomy. Further prospective studies with longer follow-up are warranted to clarify the superiority and problems associated with this procedure. | |||||
| 書誌情報 |
Hepato-Gastroenterology 巻 60, 号 125, p. 1182-1188, 発行日 2013-07 |
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| 出版者 | ||||||
| 出版者 | H.G.E. Update Medical Publishing Ltd. | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 01726390 | |||||
| DOI | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.5754/hge11045 | |||||
| 権利 | ||||||
| 権利情報 | © H.G.E. Update Medical Publishing S.A. | |||||
| 著者版フラグ | ||||||
| 出版タイプ | AM | |||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
| 引用 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Hepato-Gastroenterology, 60(125), pp.1182-1188; 2013 | |||||
