Journal article
Perioperative Management of Pancreaticoduodenectomy: Avoiding Admission to the Intensive Care Unit
Gastrointestinal Tumors, Vol.6(3-4), pp.108-115
10/01/2019
DOI: 10.1159/000502887
PMCID: PMC6873035
PMID: 31768354
Abstract
Introduction: With the advancement in surgical expertise at high-volume centers and advances in perioperative management, pancreaticoduodenectomy is becoming safer and remains the gold standard for treating periampullary pathologies. We describe our experience in optimizing perioperative management in order to avoid admission to the intensive care unit and improve outcomes. Method: Retrospective data were collected on 370 surgical patients who underwent a pancreaticoduodenectomy between the years 1994 and 2016. Results: Of the 370 patients, 200 operated between 2009 and 2016 did not require intensive care admission, blood transfusion, or central line insertion. The results were compared between different time intervals: before the year 1998, between the years 1998 and 2008, and between the years 2009 and 2016. The median blood loss dropped from 800 to 400 to 300 mL, respectively. The median operative time also dropped from 360 to 335 to 215 min, respectively. In addition, the median length of hospital stay decreased from 25 to 16 to 7 days, respectively. Conclusion: With the centralization of pancreaticoduodenectomy in high-volume centers and with specialized surgeons performing the surgery, there is a significant decrease in the onset of postoperative complications with a lesser need for blood transfusions and, subsequently, better recovery of patients without the need for intensive care unit admission.
Details
- Title: Subtitle
- Perioperative Management of Pancreaticoduodenectomy: Avoiding Admission to the Intensive Care Unit
- Creators
- Walid Faraj - American University of Beirut Medical CenterDeborah Mukherji - American University of Beirut Medical CenterAhmad M. Zaghal - American University of Beirut Medical CenterHussein Nassar - American University of Beirut Medical CenterFarah H. Mokadem - American University of Beirut Medical CenterSamar Jabbour - American University of Beirut Medical CenterChakib Ayoub - American University of Beirut Medical CenterMarwan S. Rizk - American University of Beirut Medical CenterMariam Kanso - American University of Beirut Medical CenterRola F. Jaafar - American University of Beirut Medical CenterNigel Heaton - King's College HospitalMohamad Khalife - American University of Beirut Medical Center
- Resource Type
- Journal article
- Publication Details
- Gastrointestinal Tumors, Vol.6(3-4), pp.108-115
- DOI
- 10.1159/000502887
- PMID
- 31768354
- PMCID
- PMC6873035
- NLM abbreviation
- Gastrointest Tumors
- ISSN
- 2296-3774
- eISSN
- 2296-3766
- Publisher
- Karger
- Number of pages
- 8
- Language
- English
- Date published
- 10/01/2019
- Academic Unit
- Anesthesia
- Record Identifier
- 9984757270902771
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