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Fistula risk score-adjusted comparison of postoperative pancreatic fistula following laparoscopic vs open pancreatoduodenectomy

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dc.contributor.author강창무-
dc.contributor.author이우정-
dc.contributor.author황호경-
dc.contributor.author최문석-
dc.date.accessioned2022-05-09T16:45:23Z-
dc.date.available2022-05-09T16:45:23Z-
dc.date.issued2021-12-
dc.identifier.issn1868-6974-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/188176-
dc.description.abstractBackground: To evaluate a risk-adjusted comparison of clinically relevant postoperative pancreatic fistula POPF (CR-POPF) following laparoscopic pancreatoduodenectomy (LPD) vs open pancreatoduodenectomy (OPD) using the fistula risk score (FRS). Methods: We retrospectively analyzed 579 patients who underwent LPD (n = 274) or OPD (n = 305) between 2012 and 2019 at two tertiary hospitals. Using the FRS, the risk was stratified into four categories; negligible, low, intermediate and high risk. Results: The median FRS was significantly higher in the LPD than in the OPD group (5.4 ± 1.2 vs 3.9 ± 1.8, P < .001). The overall incidence of CR-POPF in the LPD vs OPD groups were 16.4% vs 17.7% (P = .187). When POPF risks were stratified by FRS, CR-POPF following LPD vs OPD in patients with low risk (0% vs 6.3%, P = .294), intermediate risk (16.1% vs 22.9%, P = .053) and high risk (33.3% vs 27.3%, P = .577) were not significantly different. Conclusion: Despite a higher risk score in the LPD group, the CR-POPF was similar following both procedures in the unadjusted and FRS-risk-adjusted comparisons. The CR-POPF was more significantly affected by patient risk factors such as the soft pancreas and small pancreatic duct.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherWiley Japan-
dc.relation.isPartOfJOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHHumans-
dc.subject.MESHLaparoscopy* / adverse effects-
dc.subject.MESHPancreas / surgery-
dc.subject.MESHPancreatic Fistula* / epidemiology-
dc.subject.MESHPancreatic Fistula* / etiology-
dc.subject.MESHPancreatic Fistula* / surgery-
dc.subject.MESHPancreaticoduodenectomy / adverse effects-
dc.subject.MESHPostoperative Complications / epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.titleFistula risk score-adjusted comparison of postoperative pancreatic fistula following laparoscopic vs open pancreatoduodenectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorBoram Lee-
dc.contributor.googleauthorYoo-Seok Yoon-
dc.contributor.googleauthorChang Moo Kang-
dc.contributor.googleauthorMunseok Choi-
dc.contributor.googleauthorJun Suh Lee-
dc.contributor.googleauthorHo Kyoung Hwang-
dc.contributor.googleauthorJai Young Cho-
dc.contributor.googleauthorWoo Jung Lee-
dc.contributor.googleauthorHo-Seong Han-
dc.identifier.doi10.1002/jhbp.866-
dc.contributor.localIdA00088-
dc.contributor.localIdA02993-
dc.contributor.localIdA04497-
dc.relation.journalcodeJ01440-
dc.identifier.eissn1868-6982-
dc.identifier.pmid33174394-
dc.identifier.urlhttps://onlinelibrary.wiley.com/doi/10.1002/jhbp.866-
dc.subject.keywordlaparoscopy-
dc.subject.keywordpancreatic fistula-
dc.subject.keywordpancreaticoduodenectomy-
dc.subject.keywordrisk-adjusted analysis-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.affiliatedAuthor강창무-
dc.contributor.affiliatedAuthor이우정-
dc.contributor.affiliatedAuthor황호경-
dc.citation.volume28-
dc.citation.number12-
dc.citation.startPage1089-
dc.citation.endPage1097-
dc.identifier.bibliographicCitationJOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, Vol.28(12) : 1089-1097, 2021-12-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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