Drainage procedure for pancreatolithiasis: re-examination of the pancreatic duct diameter standard
| Autor: | Guoyong Chen, Junchuang He, Jianping Gong, Hongxian Yan, Yu You, Sidong Wei |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Drainage procedure Decompression 03 medical and health sciences 0302 clinical medicine medicine Endocrine system Pancreatic Duct Stone Pancreatic duct business.industry medicine.disease Prognosis Surgery medicine.anatomical_structure Pancreatitis Pancreatic fistula 030220 oncology & carcinogenesis Operative surgical procedures Drainage 030211 gastroenterology & hepatology Original Article medicine.symptom business |
| Zdroj: | Annals of Surgical Treatment and Research |
| ISSN: | 2288-6796 2288-6575 |
| Popis: | Purpose Pancreatic duct decompression relieves pancreatic duct stone (PDS)-associated abdominal pain, though a consensus indication for the drainage procedure of the main pancreatic duct (MPD) is lacking. Moreover, major prognostic factors for postsurgical long-term pain relief and recurrence are largely unknown. Methods The clinical outcomes of 65 consecutive PDS patients undergoing surgery from 2008–2012 with 3+ years of follow-up were assessed. Results At postsurgical follow-up (median, 4.5 years; range, 3–7 years; procedure: Partington, n = 32; Frey, n = 27; pancreatoduodenectomy, n = 3; distal pancreatectomy, n = 3), the early complication and complete stone clearance rates were 29.2% and 97%, respectively. Long-term, complete and partial pain relief were 93.9%, 83.1%, and 10.8%, respectively. The risk of pancreatic fistula was higher in the 8 mm group (P < 0.05), and 80% of the pancreatic fistula cases occurred in the |
| Databáze: | OpenAIRE |
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