Perioperative and follow-up results after central pancreatic head resection (Berne technique) in a consecutive series of patients with chronic pancreatitis
| Autor: | Ulf Hinz, Markus W. Büchler, Michael W. Müller, Güralp O. Ceyhan, Sarah Leitzbach, Jörg Kleeff, Choon-Kiat Ho, Christoph W. Michalski, Pascal O. Berberat, Helmut Friess, Jörg Köninger |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Pancreatic disease Follow up results Pancreatic head Resection Pancreatectomy Blood loss Diabetes mellitus Pancreatitis Chronic medicine Humans Prospective Studies business.industry General Medicine Perioperative Middle Aged medicine.disease Surgery Treatment Outcome Quality of Life Pancreatitis Female business Follow-Up Studies |
| Zdroj: | American journal of surgery. 196(3) |
| ISSN: | 1879-1883 |
| Popis: | Background Many patients require surgery for chronic pancreatitis (CP). By combining the essences of the Beger and the Frey procedures, a hybrid procedure was developed: central pancreatic-head resection (CPHR) (Berne technique). Methods A prospective evaluation of 100 consecutive patients who underwent CPHR for CP between January 2002 and December 2006 was performed. Long-term follow-up, including quality-of-life (QOL) assessment, was carried out. Results The hospital mortality rate was 1%; the surgical morbidity rate was 16%; and the relaparotomy rate was 6%. Mean surgery time was 295 ± 7 minutes; mean intraoperative blood loss was 763 ± 75 mL; and the mean postsurgical hospital stay was 11.4 ± .8 days. After a median follow-up of 41 months, pain was improved in 55% of patients; weight increase occurred in 67% of patients; and insulin-dependent diabetes mellitus developed in 22% of the patients. Comparison of QOL parameters with a German adult control population showed no statistically significant differences. Conclusions CPHR is a safe surgical option to resolve CP-associated problems. Long-term follow-up QOL after CPHR shows results comparable with date published data after the Beger and the Frey procedures. |
| Databáze: | OpenAIRE |
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