| Autor: |
He Cai, Fei Lu, Pan Gao, Man Zhang, Xin Wang, Yongbin Li, Lingwei Meng, Bing Peng, Yunqiang Cai |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
BMC Surgery, Vol 24, Iss 1, Pp 1-7 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
1471-2482 |
| DOI: |
10.1186/s12893-024-02529-6 |
| Popis: |
Abstract Objective Achieving textbook outcome (TO) implies a smooth recovery post-operation without specified composite complications. This study aimed to evaluate TO in laparoscopic pancreaticoduodenectomy (LPD) and identify independent risk factors associated with achieving TO. Methods We conducted a retrospective analysis of data from a randomized controlled trial on LPD at West China Hospital (ChiCTR1900026653). Patients were categorized into the TO and non-TO groups. Perioperative variables were compared between these groups. Multivariate logistic regression was utilized to identify the risk factors. Results A total of 200 consecutive patients undergoing LPD were included in this study. TO was achieved in 82.5% (n = 165) of the patients. Female patients (OR: 2.877, 95% CI: 1.219–6.790; P = 0.016) and those with a hard pancreatic texture (OR: 2.435, 95% CI: 1.018–5.827; P = 0.046) were associated with an increased likelihood of achieving TO. Conclusions TO can be achieved in more than 80% of patients in a high-volume LPD center. Independent risk factors associated with achieving TO included gender (male) and pancreatic texture (soft). |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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