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- W2893289048 abstract "Abstract Mortality after pancreatic resection has greatly decreased in comparison with historical series, from 33% following Whipple's initial reports to currently less than 2% in most high-volume centers, resulting in the recognition that assessment of surgical quality for these high-acuity patients warrants further refinement. The impact of hospital volume on actual operative mortality is significant for pancreatic cancer resections, but these two measures accounted for only half of the hospital-level variation in mortality. The three most common complications after pancreatectomy are delayed gastric emptying, wound infection, and pancreatic fistula. This chapter will also discuss postpancreatectomy hemorrhage. Initial efforts to better understand perioperative mortality after pancreatic resection demonstrated the impact of hospital volume on outcome and an ongoing survival benefit (6% at 2 years) for patients undergoing pancreatic cancer resection at a high-volume institution. However, great effort has since been expended to better define, describe, and categorize postpancreatectomy complications, as well as to understand risk factors for the complications and management strategies. This chapter will focus on technical and clinical means of preventing and managing pancreatic surgical complications, but the import of surgeon and hospital volume, as well as experience, on complications and overall outcome after pancreatic resection should not be lost on the reader." @default.
- W2893289048 created "2018-10-05" @default.
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- W2893289048 date "2019-01-01" @default.
- W2893289048 modified "2023-09-23" @default.
- W2893289048 title "Prevention and Management of Complications of Pancreatic Surgery" @default.
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- W2893289048 doi "https://doi.org/10.1016/b978-0-323-40232-3.00105-9" @default.
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