keyword
https://read.qxmd.com/read/38493929/whipple-s-cephalic-duodenopancreatectomy-versus-pyloric-sparing-duodenopancreatectomy-retrospective-study
#21
JOURNAL ARTICLE
Iago Justo Alonso, Alberto Marcacuzco Quinto, Oscar Caso Maestro, Laura Alonso Murillo, Paula Rioja Conde, Clara Fernández Fernández, Carlos Jiménez Romero
INTRODUCTION: Controversy exists in the literature as to the best technique for pancreaticoduodenectomy (PD), whether pyloric preservation (PD-PP) or Whipple's technique (with antrectomy [PD-W]), the former being associated with a higher frequency of delayed gastric emptying (DGE). METHODS: Retrospective and comparative study between PD-PP technique (n = 124 patients) and PD-W technique (n = 126 patients), in patients who were operated for tumors of the pancreatic head and periampullary region between the period 2012 and 2023...
March 15, 2024: Cirugia española
https://read.qxmd.com/read/38488870/the-development-of-a-deep-learning-model-for-automated-segmentation-of-the-robotic-pancreaticojejunostomy
#22
JOURNAL ARTICLE
Amr I Al Abbas, Babak Namazi, Imad Radi, Rodrigo Alterio, Andres A Abreu, Benjamin Rail, Patricio M Polanco, Herbert J Zeh, Melissa E Hogg, Amer H Zureikat, Ganesh Sankaranarayanan
BACKGROUND: Minimally invasive surgery provides an unprecedented opportunity to review video for assessing surgical performance. Surgical video analysis is time-consuming and expensive. Deep learning provides an alternative for analysis. Robotic pancreaticoduodenectomy (RPD) is a complex and morbid operation. Surgeon technical performance of pancreaticojejunostomy (PJ) has been associated with postoperative pancreatic fistula. In this work, we aimed to utilize deep learning to automatically segment PJ RPD videos...
March 15, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38482478/diagnosis-and-treatment-of-a-biliary-fistula-to-walled-off-pancreatic-necrosis
#23
JOURNAL ARTICLE
Erica Park, Jordan Burlen, Luke Roberts, Tessa Crilley, Samuel Han
Video 1Visualization and treatment of a biliary fistula into a walled-off pancreatic necrosis collection.
March 2024: VideoGIE
https://read.qxmd.com/read/38482470/endoscopic-closure-of-pancreatico-colonic-fistulas-in-a-patient-with-persistent-infected-pancreatic-necrosis-and-bacteremia
#24
JOURNAL ARTICLE
Michelle Baliss, Laith Numan, Wissam Kiwan
Video 1Pancreatico-colonic fistula closure.
March 2024: VideoGIE
https://read.qxmd.com/read/38473260/different-periampullary-types-and-subtypes-leading-to-different-perioperative-outcomes-of-pancreatoduodenectomy-reality-and-not-a-myth-an-international-multicenter-cohort-study
#25
JOURNAL ARTICLE
Bas A Uijterwijk, Daniël H Lemmers, Giuseppe Kito Fusai, Bas Groot Koerkamp, Sharnice Koek, Alessandro Zerbi, Ernesto Sparrelid, Ugo Boggi, Misha Luyer, Benedetto Ielpo, Roberto Salvia, Brian K P Goh, Geert Kazemier, Bergthor Björnsson, Mario Serradilla-Martín, Michele Mazzola, Vasileios K Mavroeidis, Santiago Sánchez-Cabús, Patrick Pessaux, Steven White, Adnan Alseidi, Raffaele Dalla Valle, Dimitris Korkolis, Louisa R Bolm, Zahir Soonawalla, Keith J Roberts, Miljana Vladimirov, Alessandro Mazzotta, Jorg Kleeff, Miguel Angel Suarez Muñoz, Marc G Besselink, Mohammed Abu Hilal
This international multicenter cohort study included 30 centers. Patients with duodenal adenocarcinoma (DAC), intestinal-type (AmpIT) and pancreatobiliary-type (AmpPB) ampullary adenocarcinoma, distal cholangiocarcinoma (dCCA), and pancreatic ductal adenocarcinoma (PDAC) were included. The primary outcome was 30-day or in-hospital mortality, and secondary outcomes were major morbidity (Clavien-Dindo 3b≥), clinically relevant post-operative pancreatic fistula (CR-POPF), and length of hospital stay (LOS)...
February 23, 2024: Cancers
https://read.qxmd.com/read/38469012/acute-necrotizing-pancreatitis-presenting-as-gastrocolic-fistula-a-rare-occurrence
#26
Twinkle Pawar, Harshitha Reddy, Sunil Kumar, Sourya Acharya, Vijendra Kirnake
Tissue necrosis and ischemia are hallmarks of acute necrotizing pancreatitis, which frequently results in fatal infections. In this case, we describe a man in his 40s who had diffuse pain in the abdomen, intractable vomiting, diarrhoea, and intermittent fever. His abdominal computed tomography revealed acute pancreatitis with peripancreatic fluid collection, gastric perforation, and fistula formation between the greater curvature of the stomach and transverse colon. His upper gastrointestinal (GI) endoscopy confirmed a gastrocolic fistula...
February 2024: Curēus
https://read.qxmd.com/read/38465285/polymicrobial-purulent-pericarditis-from-a-pancreatico-pericardial-fistula
#27
JOURNAL ARTICLE
Christopher Richardson, Mark Cromer, Luis Tatem, Raymond Wade, Derek Russell
A 54-year-old male with chronic pancreatitis presented with dyspnea. Computed tomography scans demonstrated a subdiaphragmatic fluid collection with pericardial fistulization. Pericardial fluid cultures were polymicrobial in nature. Purulent pericarditis is rare but carries a high mortality rate. We present the first documented case of pancreatico-pericardial fistulization causing purulent pericarditis.
April 3, 2024: JACC. Case reports
https://read.qxmd.com/read/38463147/fulminant-emphysematous-pancreatitis-diagnosis-time-counts
#28
Basel Darawsha, Subhi Mansour, Tawfik Fahoum, Naseem Azzam, Yoram Kluger, Ahmad Assalia, Safi Khuri
Emphysematous pancreatitis (EP), a severe form of necrotizing infection of the pancreas, is an extremely rare medical emergency with high rates of mortality. It is characterized by intraparenchymal pancreatic or peri-pancreatic air due to either monomicrobial or polymicrobial infection with gas-forming bacteria or due to entero-pancreatic fistula. EP is classified according to timing from disease onset when air bubble signs were detected on computed tomography (CT) scan, as early onset (within 2 weeks from disease onset) or late (more than 2 weeks from disease onset)...
February 2024: Gastroenterology Research
https://read.qxmd.com/read/38460085/refractory-postoperative-pancreatic-fistula-following-laparoscopic-distal-pancreatectomy-for-pancreatic-cancer-caused-by-incomplete-pancreas-divisum-a-case-report
#29
JOURNAL ARTICLE
Naotake Funamizu, Mio Uraoka, Yuki Numata, Mitsuhito Koizumi, Kohei Ogawa, Yoshio Ikeda, Yasutsugu Takada
Pancreas divisum (PD) represents a prevalent congenital pancreatic variant, typically arising from the failure of fusion between the ventral and dorsal pancreatic ducts. This condition is frequently associated with recurrent pancreatitis. We herein present a case involving an incomplete PD diagnosis following the identification of a refractory postoperative pancreatic fistula (POPF) after laparoscopic distal pancreatectomy (DP) for pancreatic cancer. A 74-year-old female patient, who had undergone laparoscopic DP for pancreatic cancer, developed a POPF accompanied by intraabdominal bleeding, necessitating urgent intervention radiology to avert life-threatening complications...
March 9, 2024: Clinical Journal of Gastroenterology
https://read.qxmd.com/read/38455495/assessing-intra-abdominal-status-for-clinically-relevant-postoperative-pancreatic-fistula-based-on-postoperative-fluid-collection-and-drain-amylase-levels-after-distal-pancreatectomy
#30
JOURNAL ARTICLE
Yosuke Mukai, Kei Asukai, Hirofumi Akita, Masahiko Kubo, Shinichiro Hasegawa, Hiroshi Wada, Hiroshi Miyata, Masayuki Ohue, Masato Sakon, Hidenori Takahashi
AIM: The aim of this study was to evaluate the intra-abdominal status related to postoperative pancreatic fistula by combining postoperative fluid collection and drain amylase levels. METHODS: We retrospectively reviewed the data of 203 patients who underwent distal pancreatectomy and classified their postoperative abdominal status into four groups based on postoperative fluid collection size and drain amylase levels. We also evaluated the incidence of clinically relevant postoperative pancreatic fistula in each group according to C-reactive protein values...
March 2024: Annals of Gastroenterological Surgery
https://read.qxmd.com/read/38455481/impact-of-a-robotic-system-on-intra-abdominal-infectious-complications-after-minimally-invasive-gastrectomy-in-patients-with-gastric-cancer-a-propensity-score-matching-analysis-regarding-visceral-obesity
#31
JOURNAL ARTICLE
Naoshi Kubo, Katsunobu Sakurai, Tsuyoshi Hasegawa, Yutaka Tamamori, Yasuhito Iseki, Takafumi Nishii, Sadatoshi Shimizu, Toru Inue, Yukio Nishiguchi, Kiyoshi Maeda
BACKGROUND: The efficacy of robotic gastrectomy (RG) on postoperative complications in patients with gastric cancer (GC) is unclear in terms of the volume of intra-abdominal fat tissue. PATIENTS AND METHODS: We enrolled 403 patients with GC who had minimally invasive surgery between January 2015 and July 2022. During this time, 197 RG and 206 laparoscopic gastrectomies (LG) were performed on the study participants. According to the computed tomography scan, patients were defined as having or not having visceral obesity based on the visceral fatty area (VFA)...
March 2024: Annals of Gastroenterological Surgery
https://read.qxmd.com/read/38455348/machine-learning-models-and-nomogram-based-on-clinical-laboratory-profiles-and-skeletal-muscle-index-to-predict-pancreatic-fistula-after-pancreatoduodenectomy
#32
JOURNAL ARTICLE
Yile Dai, Wenqian Huang, Liming Xu, Qiyu Zhang, Xiaming Huang
BACKGROUND: Postoperative pancreatic fistula (POPF) is a perilous complication that may arise subsequent to pancreaticoduodenectomy (PD). In recent times, there has been an escalating interest in employing machine learning (ML) techniques to aid in treatment decision-making. The purpose of this research is to assess the effectiveness of ML in comparison to conventional models, while also conducting an initial evaluation of the predictive capability of skeletal muscle index (SMI) concerning POPF...
February 29, 2024: Gland Surgery
https://read.qxmd.com/read/38450271/a-choledochal-cyst-type-iva-in-a-child-treated-with-roux-en-y-hepaticojejunostomy
#33
JOURNAL ARTICLE
Sulaiman Yusuf, Alivia R Nuriyanto, Nurul Nadia, Muntadhar Muntadhar, Yumna Muzakkir, Nurhayani D Susanti, Zain Al-Shather, Fenny Harrika
A choledochal cyst is a bile duct anomaly that disrupts the transportation of bile from the liver to the gallbladder and small intestine. Choledochal cysts are rare, occurring in approximately one out of every 100,000 to 150,000 children in Western countries, with a girls-to-boys ratio of 4:1. Immediate surgery to excise the cyst and construct a biliary-enteric continuity is necessary to treat this condition. This case-report aimed to present a child with choledochal cyst type IVa who underwent a Roux-en-Y hepaticojejunostomy...
August 2023: Narra J
https://read.qxmd.com/read/38448277/preoperative-chemoradiotherapy-but-not-chemotherapy-is-associated-with-reduced-risk-of-postoperative-pancreatic-fistula-after-pancreatoduodenectomy-for-pancreatic-ductal-adenocarcinoma-a-nationwide-analysis
#34
JOURNAL ARTICLE
Leonoor V Wismans, J Annelie Suurmeijer, Jelle C van Dongen, Bert A Bonsing, Hjalmar C Van Santvoort, Johanna W Wilmink, Geertjan van Tienhoven, Ignace H de Hingh, Daan J Lips, Erwin van der Harst, Vincent E de Meijer, Gijs A Patijn, Koop Bosscha, Martijn W Stommel, Sebastiaan Festen, Marcel den Dulk, Joost J Nuyttens, Martijn P W Intven, Judith de Vos-Geelen, I Quintus Molenaar, Olivier R Busch, Bas Groot Koerkamp, Marc G Besselink, Casper H J van Eijck
BACKGROUND: Postoperative pancreatic fistula remains the leading cause of significant morbidity after pancreatoduodenectomy for pancreatic ductal adenocarcinoma. Preoperative chemoradiotherapy has been described to reduce the risk of postoperative pancreatic fistula, but randomized trials on neoadjuvant treatment in pancreatic ductal adenocarcinoma focus increasingly on preoperative chemotherapy rather than preoperative chemoradiotherapy. This study aimed to investigate the impact of preoperative chemotherapy and preoperative chemoradiotherapy on postoperative pancreatic fistula and other pancreatic-specific surgery related complications on a nationwide level...
March 5, 2024: Surgery
https://read.qxmd.com/read/38448035/a-combined-score-for-predicting-clinically-relevant-postoperative-pancreatic-fistula-based-on-inflammatory-parameters-and-drainage-fluid-culture-results-on-postoperative-day-3
#35
JOURNAL ARTICLE
Hironobu Suto, Hiroyuki Matsukawa, Yasuhisa Ando, Minoru Oshima, Takuro Fuke, Takashi Norikane, Takayuki Sanomura, Hideki Kamada, Hideki Kobara, Tsutomu Masaki, Kensuke Kumamoto, Keiichi Okano
BACKGROUND: Clinically relevant postoperative pancreatic fistula (CR-POPF) after pancreatic resection can lead to severe postoperative complications. POPF is defined based on postoperative day (POD) 3 drainage fluid amylase level. POPF correlates with inflammatory parameters as well as drainage fluid bacterial infection. However, a standardized model based on these factors for predicting CR-POPF remains elusive. We aimed to identify inflammatory parameter- and drainage fluid culture-related risk factors for CR-POPF on POD 3 after pancreatoduodenectomy (PD) and distal pancreatectomy (DP)...
March 6, 2024: World Journal of Surgery
https://read.qxmd.com/read/38445917/acinar-content-at-pancreatic-resection-margin-is-significantly-associated-with-clinically-relevant-pancreatic-fistula-after-partial-pancreatoduodenectomy
#36
JOURNAL ARTICLE
Ioannis Mintziras, Marvin Görg, Sabine Wächter, Jerena Manoharan, Max Benjamin Albers, Elisabeth Maurer, Veit Kanngiesser, Moritz Jesinghaus, Detlef K Bartsch
BACKGROUND: This study aimed to evaluate the clinical significance of acinar content at the pancreatic resection margin after partial pancreatoduodenectomy (PD). METHODS: A total of 228 consecutive patients undergoing PD were included for analysis. Resection margins were assessed for acinar, fibrosis, and fat contents by 2 pathologists blinded to the patients' clinical data. Univariate and multivariable analyses of possible predictors for clinically relevant postoperative pancreatic fistula (cr-POPF) were performed...
March 2024: Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38444645/complicated-pancreatic-fistula-after-gynecologic-surgery-for-left-fallopian-tube-carcinosarcoma-a-case-report
#37
Kazuna Matsutani, Yasuto Kinose, Mayuko Kato, Michiko Kodama, Kenjiro Sawada, Tadashi Kimura
Pancreatic fistulas are rare after gynecologic surgeries but are sometimes difficult to manage. A 62-year-old woman was admitted to a local hospital with acute abdominal pain. Computed tomography (CT) images showed subileus and an obstruction site in the transverse/descending colon, with invasion of peritoneal metastasis. A metal stent was placed in the bowel through colonoscopy. Suspecting advanced-stage ovarian cancer, the patient was referred to a tertiary hospital. Diagnostic laparoscopy was performed prior to neoadjuvant chemotherapy...
March 2024: Case Reports in Women's Health
https://read.qxmd.com/read/38440415/case-report-robotic-pylorus-preserving-pancreatoduodenectomy-for-periampullary-rhabdomyosarcoma-in-a-3-year-old-patient
#38
Zijian Liang, Menglong Lan, Xiaogang Xu, Fei Liu, Boyuan Tao, Xinxing Wang, Jixiao Zeng
Periampullary neoplasm is rare in pediatric patients and has constituted a strict indication for pancreatoduodenectomy (PD), which is a procedure sporadically reported in the literature among children. Robotic PD has been routinely performed for periampullary neoplasm in periampullary neoplasm, but only a few cases in pediatric patients have been reported. Here, we report the case of a 3-year-old patient with periampullary rhabdomyosarcoma treated with robotic pylorus-preserving PD and share our experience with this procedure in pediatric patients...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38438677/postoperative-outcomes-and-costs-of-laparoscopic-versus-robotic-distal-pancreatectomy-a-propensity-matched-analysis
#39
JOURNAL ARTICLE
Hester C Timmerhuis, Christopher W Jensen, Rejoice F Ngongoni, Michael Baiocchi, Jonathan C DeLong, Rika Ohkuma, Monica M Dua, Jeffrey A Norton, George A Poultsides, Patrick J Worth, Brendan C Visser
BACKGROUND: Minimally invasive distal pancreatectomy (MIDP) has established advantages over the open approach. The costs associated with robotic DP (RDP) versus laparoscopic DP (LDP) make the robotic approach controversial. We sought to compare outcomes and cost of LDP and RDP using propensity matching analysis at our institution. METHODS: Patients undergoing LDP or RDP between 2000 and 2021 were retrospectively identified. Patients were optimally matched using age, gender, American Society of Anesthesiologists status, body mass index, and tumor size...
March 4, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38438660/high-hand-grip-strength-is-a-significant-risk-factor-and-a-useful-predictor-of-postoperative-pancreatic-fistula-following-pancreaticoduodenectomy
#40
JOURNAL ARTICLE
Takayoshi Nakajima, Shinichi Ikuta, Masataka Fujikawa, Lisa Ikuta, Goshi Matsuki, Noriko Ichise, Meidai Kasai, Ryo Okamoto, Yoshihiko Nakamoto, Tsukasa Aihara, Hidenori Yanagi, Naoki Yamanaka
BACKGROUND: Postoperative pancreatic fistula (POPF) is one of the most critical complications of pancreaticoduodenectomy (PD). Studies on predictive factors for POPF that can be identified preoperatively are limited. Recent reports have highlighted the association between the preoperative nutritional status, including sarcopenia, and postoperative complications. We examined preoperative risk factors for POPF after PD, focusing on nutritional indicators. METHODS: A total of 153 consecutive patients who underwent PD at our institution were enrolled in this study...
March 4, 2024: Langenbeck's Archives of Surgery
keyword
keyword
35392
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.