Matches in SemOpenAlex for { <https://semopenalex.org/work/W1990216981> ?p ?o ?g. }
Showing items 1 to 80 of
80
with 100 items per page.
- W1990216981 endingPage "S119" @default.
- W1990216981 startingPage "S115" @default.
- W1990216981 abstract "William P. Longmire Jr popularized the pylorus-preserving pancreaticoduodenectomy or “Whipple” operation using a philosophy for preserving function that he had pursued in his 2 previously described operations—intrahepatic cholangiojejunostomy (Longmire I) and the jejunal interposition after total gastrectomy (Longmire II) operation. An analysis of the published evidence comparing the pylorus-preserving Whipple (PPW) with a standard Whipple operation shows no difference in mortality, operating time, estimated blood loss, delayed gastric emptying, length of stay, or long-term cancer survival. Although no differences were noted between the 2 operations within the same hospital or study group, marked differences were observed in quality indicators between centers, particularly in estimated blood loss. Quality indicators for the Whipple operation (whether or not the pylorus is preserved) include pancreatic anastomotic leak, delayed gastric emptying, and the volume of blood lost during surgery. These clinical quality indicators have been benchmarked and used for improvement. If differences were not observed in patients after the Whipple operation (pylorus-preserving vs standard), then to improve cancer survival surgeons would need to look beyond the 2 operations. These studies confirmed the opinion that surgery alone is not enough to improve cancer survival when the head of the pancreas is to be resected by pancreaticoduodenectomy. The focus on PPW over the years since its description in 1978 has unmasked the concept that improvement in survivorship depends on improving many steps in the performance of pancreaticoduodenectomy that culminate in the quality indicators outlined above. These postoperative outcomes can be improved only by measuring them at each hospital and employing leadership to implement measures for improving the quality indicator that may not be within a reasonable range of the benchmark. The study of the PPW operation has helped to focus on areas other than PPW to improve the results of pancreatic head resection for pancreatic cancer." @default.
- W1990216981 created "2016-06-24" @default.
- W1990216981 creator A5052856745 @default.
- W1990216981 date "2007-10-01" @default.
- W1990216981 modified "2023-09-27" @default.
- W1990216981 title "Pylorus-preserving pancreaticoduodenectomy (Longmire III operation): origins, indications and outcomes" @default.
- W1990216981 cites W1997032414 @default.
- W1990216981 cites W2002369577 @default.
- W1990216981 cites W2003211608 @default.
- W1990216981 cites W2032813254 @default.
- W1990216981 cites W2043247615 @default.
- W1990216981 cites W2049731387 @default.
- W1990216981 cites W2050702501 @default.
- W1990216981 cites W2063187898 @default.
- W1990216981 cites W2068804612 @default.
- W1990216981 cites W2073963371 @default.
- W1990216981 cites W2081340094 @default.
- W1990216981 cites W2082161010 @default.
- W1990216981 cites W2090126947 @default.
- W1990216981 cites W2097145419 @default.
- W1990216981 cites W2097517425 @default.
- W1990216981 cites W2117853299 @default.
- W1990216981 cites W2125561272 @default.
- W1990216981 cites W189816804 @default.
- W1990216981 doi "https://doi.org/10.1016/j.amjsurg.2007.05.032" @default.
- W1990216981 hasPublicationYear "2007" @default.
- W1990216981 type Work @default.
- W1990216981 sameAs 1990216981 @default.
- W1990216981 citedByCount "0" @default.
- W1990216981 crossrefType "journal-article" @default.
- W1990216981 hasAuthorship W1990216981A5052856745 @default.
- W1990216981 hasConcept C121608353 @default.
- W1990216981 hasConcept C126322002 @default.
- W1990216981 hasConcept C141071460 @default.
- W1990216981 hasConcept C2778012502 @default.
- W1990216981 hasConcept C2778764654 @default.
- W1990216981 hasConcept C2778975757 @default.
- W1990216981 hasConcept C2779422922 @default.
- W1990216981 hasConcept C2780210213 @default.
- W1990216981 hasConcept C2780470880 @default.
- W1990216981 hasConcept C2908590181 @default.
- W1990216981 hasConcept C3020479747 @default.
- W1990216981 hasConcept C61434518 @default.
- W1990216981 hasConcept C71924100 @default.
- W1990216981 hasConcept C8443397 @default.
- W1990216981 hasConceptScore W1990216981C121608353 @default.
- W1990216981 hasConceptScore W1990216981C126322002 @default.
- W1990216981 hasConceptScore W1990216981C141071460 @default.
- W1990216981 hasConceptScore W1990216981C2778012502 @default.
- W1990216981 hasConceptScore W1990216981C2778764654 @default.
- W1990216981 hasConceptScore W1990216981C2778975757 @default.
- W1990216981 hasConceptScore W1990216981C2779422922 @default.
- W1990216981 hasConceptScore W1990216981C2780210213 @default.
- W1990216981 hasConceptScore W1990216981C2780470880 @default.
- W1990216981 hasConceptScore W1990216981C2908590181 @default.
- W1990216981 hasConceptScore W1990216981C3020479747 @default.
- W1990216981 hasConceptScore W1990216981C61434518 @default.
- W1990216981 hasConceptScore W1990216981C71924100 @default.
- W1990216981 hasConceptScore W1990216981C8443397 @default.
- W1990216981 hasIssue "4" @default.
- W1990216981 hasLocation W19902169811 @default.
- W1990216981 hasOpenAccess W1990216981 @default.
- W1990216981 hasPrimaryLocation W19902169811 @default.
- W1990216981 hasRelatedWork W1549265895 @default.
- W1990216981 hasRelatedWork W1966434494 @default.
- W1990216981 hasRelatedWork W2001811162 @default.
- W1990216981 hasRelatedWork W2048102793 @default.
- W1990216981 hasRelatedWork W2095108923 @default.
- W1990216981 hasRelatedWork W2472259678 @default.
- W1990216981 hasRelatedWork W2884309524 @default.
- W1990216981 hasRelatedWork W2894895792 @default.
- W1990216981 hasRelatedWork W3030128490 @default.
- W1990216981 hasRelatedWork W3209954147 @default.
- W1990216981 hasVolume "194" @default.
- W1990216981 isParatext "false" @default.
- W1990216981 isRetracted "false" @default.
- W1990216981 magId "1990216981" @default.
- W1990216981 workType "article" @default.