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Multidimensional Nomogram to Predict Postoperative Pancreatic Fistula after Minimally Invasive Pancreaticoduodenectomy

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dc.contributor.author강창무-
dc.contributor.author최문석-
dc.contributor.author노윤호-
dc.date.accessioned2023-08-23T00:08:06Z-
dc.date.available2023-08-23T00:08:06Z-
dc.date.issued2023-08-
dc.identifier.issn1068-9265-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/196165-
dc.description.abstractBackground: Clinically relevant postoperative pancreatic fistula (CR-POPF) is an inherently severe risk of pancreatic resection. Previous research has proposed models that identify risk factors and predict CR-POPF, although these are rarely applicable to minimally invasive pancreaticoduodenectomy (MIPD). This study aimed to evaluate the individual risks of CR-POPF and to propose a nomogram for predicting POPF in MIPD. Patients and methods: We retrospectively reviewed the medical records of 429 patients who underwent MIPD. In the multivariate analysis, the Akaike information criterion stepwise logistic regression method was used to select the final model to develop the nomogram. Results: Of 429 patients, 53 (12.4%) experienced CR-POPF. On multivariate analysis, pancreatic texture (p = 0.001), open conversion (p = 0.008), intraoperative transfusion (p = 0.011), and pathology (p = 0.048) were identified as independent predictors of CR-POPF. The nomogram was developed based on patient, pancreatic, operative, and surgeon factors by using the following four additional clinical factors as variables: American Society of Anesthesiologists class ≥ III, size of pancreatic duct, type of surgical approach, and < 40 cases of MIPD experience. Conclusions: A multidimensional nomogram was developed to predict CR-POPF after MIPD. This nomogram and calculator can help surgeons anticipate, select, and manage critical complications.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfANNALS OF SURGICAL ONCOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHHumans-
dc.subject.MESHNomograms-
dc.subject.MESHPancreas / surgery-
dc.subject.MESHPancreatic Fistula* / diagnosis-
dc.subject.MESHPancreatic Fistula* / etiology-
dc.subject.MESHPancreaticoduodenectomy* / adverse effects-
dc.subject.MESHPancreaticoduodenectomy* / methods-
dc.subject.MESHPostoperative Complications / pathology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.titleMultidimensional Nomogram to Predict Postoperative Pancreatic Fistula after Minimally Invasive Pancreaticoduodenectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorMunseok Choi-
dc.contributor.googleauthorJae Hoon Lee-
dc.contributor.googleauthorYun Ho Roh-
dc.contributor.googleauthorHyeyeon Kim-
dc.contributor.googleauthorJae Young Jang-
dc.contributor.googleauthorSung Hoon Choi-
dc.contributor.googleauthorChang Moo Kang-
dc.identifier.doi10.1245/s10434-023-13360-3-
dc.contributor.localIdA00088-
dc.contributor.localIdA05885-
dc.relation.journalcodeJ00179-
dc.identifier.eissn1534-4681-
dc.identifier.pmid37195514-
dc.identifier.urlhttps://link.springer.com/article/10.1245/s10434-023-13360-3-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.affiliatedAuthor강창무-
dc.contributor.affiliatedAuthor최문석-
dc.citation.volume30-
dc.citation.number8-
dc.citation.startPage5083-
dc.citation.endPage5090-
dc.identifier.bibliographicCitationANNALS OF SURGICAL ONCOLOGY, Vol.30(8) : 5083-5090, 2023-08-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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