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Cited 3 times in

Correlation of Intraoperative End-Tidal Carbon Dioxide Concentration on Postoperative Hospital Stay in Patients Undergoing Pylorus-Preserving Pancreaticoduodenectomy

DC Field Value Language
dc.contributor.author강창무-
dc.contributor.author이정림-
dc.contributor.author이혜미-
dc.contributor.author장철호-
dc.contributor.author황호경-
dc.date.accessioned2021-09-29T01:43:26Z-
dc.date.available2021-09-29T01:43:26Z-
dc.date.issued2021-06-
dc.identifier.issn0364-2313-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/184516-
dc.description.abstractBackground: Hypocapnia has been traditionally advocated during general anesthesia, even though it may induce deleterious physiological effects that result in unfavorable outcomes in patients. This study investigated the association between intraoperative end-tidal carbon dioxide (EtCO2) and length of hospital stay (LOS) in patients who underwent pylorus-preserving pancreaticoduodenectomy (PPPD). Methods: The medical records of 759 patients from 2006 to 2015 were reviewed. The patients were divided into two groups based on the mean EtCO2 value during general anesthesia: the hypocapnia group (< 35 mmHg) and the normocapnia group (≥ 35 mmHg). The primary outcome was LOS between the groups. Secondary outcomes included the length of intensive care unit (ICU) stay, postoperative 30-day, 1-year, and 2-year mortality, and perioperative factors associated with LOS. Results: A total of 727 patients were finally analyzed. The median LOS of the hypocapnia group was significantly longer than that of the normocapnia group (22 days vs. 18 days, respectively; p < 0.001). Postoperative mortality did not differ between the groups. Cox regression analysis revealed that hypocapnia was an independent risk factor for longer LOS (hazard ratio [HR], 1.61; 95% confidence interval [CI], 1.37-1.89; p < 0.001). Age and postoperative pancreatic fistula were also risk factors for a longer LOS. Conclusions: It was concluded that low levels of intraoperative EtCO2 during general anesthesia were associated with an increased LOS for patients undergoing PPPD.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherSpringer International-
dc.relation.isPartOfWORLD JOURNAL OF SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHCarbon Dioxide*-
dc.subject.MESHHumans-
dc.subject.MESHLength of Stay-
dc.subject.MESHPancreaticoduodenectomy* / adverse effects-
dc.subject.MESHPostoperative Complications / epidemiology-
dc.subject.MESHPylorus / surgery-
dc.titleCorrelation of Intraoperative End-Tidal Carbon Dioxide Concentration on Postoperative Hospital Stay in Patients Undergoing Pylorus-Preserving Pancreaticoduodenectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorJi-Hoon Park-
dc.contributor.googleauthorHye-Mi Lee-
dc.contributor.googleauthorChang Moo Kang-
dc.contributor.googleauthorKyung Sub Kim-
dc.contributor.googleauthorChul Ho Jang-
dc.contributor.googleauthorHo Kyoung Hwang-
dc.contributor.googleauthorJeong-Rim Lee-
dc.identifier.doi10.1007/s00268-021-05984-x-
dc.contributor.localIdA00088-
dc.contributor.localIdA03098-
dc.contributor.localIdA04649-
dc.contributor.localIdA03485-
dc.contributor.localIdA04497-
dc.relation.journalcodeJ02802-
dc.identifier.eissn1432-2323-
dc.identifier.pmid33591427-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.affiliatedAuthor강창무-
dc.contributor.affiliatedAuthor이정림-
dc.contributor.affiliatedAuthor이혜미-
dc.contributor.affiliatedAuthor장철호-
dc.contributor.affiliatedAuthor황호경-
dc.citation.volume45-
dc.citation.number6-
dc.citation.startPage1860-
dc.citation.endPage1867-
dc.identifier.bibliographicCitationWORLD JOURNAL OF SURGERY, Vol.45(6) : 1860-1867, 2021-06-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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