The impact of preoperative biliary drainage on postoperative healthcare-associated infections and clinical outcomes following pancreaticoduodenectomy: a ten-year retrospective analysis

BMC Infectious Diseases, Journal Year: 2024, Volume and Issue: 24(1)

Published: March 28, 2024

Abstract Background Pancreaticoduodenectomy (PD) is a complex procedure and easily accompanied by healthcare-associated infections (HAIs). This study aimed to assess the impact of PBD on postoperative clinical outcomes in PD patients. Methods The retrospective cohort were conducted tertiary hospital from January 2013 December 2022. Clinical epidemiological data collected HAIs surveillance system analyzed. Results Among 2842 patients who underwent PD, 247 (8.7%) diagnosed with HAIs, surgical site infection being most frequent type ( n = 177, 71.7%). A total 369 pathogenic strains detected, Klebsiella pneumoniae having highest proportion, followed Enterococcu Escherichia coli . Although no significant association observed generally between subgroup analysis revealed that was associated undergoing robotic (aRR 2.174; 95% CI:1.011–4.674; P 0.047). Prolonging interval could reduce cholangiocarcinoma (≥4 week: aRR 0.292, CI 0.100–0.853; 0.024) (≤2 3.058, 1.178–7.940; 0.022). also found increase transfer ICU 1.351; 1.119–1.632; 0.002), extended length stay < 0.001) 0.004). Conclusion does not exhibit or other outcomes. However, implementation along suitable extension appear confer advantages concerning patients’ physiological recuperation. These observations suggest potential strategies may contribute enhanced patient

Language: Английский

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Extended antibiotic therapy is associated with a lower rate of clinically relevant postoperative pancreatic fistula after pancreatoduodenectomy in intermediate- and high-risk patients: A single-institution analysis

Surgery, Journal Year: 2023, Volume and Issue: 175(2), P. 477 - 483

Published: Nov. 7, 2023

Language: Английский

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Preoperative prediction of postoperative pancreatic fistula after Pancreaticoduodenectomy: Determination and validation of a cut-off value for the Roberts Score.

The American Journal of Surgery, Journal Year: 2025, Volume and Issue: 245, P. 116356 - 116356

Published: April 25, 2025

Language: Английский

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Isolated Roux-en-Y versus single loop pancreaticojejunal reconstruction after pancreaticoduodenectomy – a systematic review and meta-analysis of randomised controlled trials

South African Journal of Surgery, Journal Year: 2024, Volume and Issue: 62(2), P. 130 - 135

Published: May 21, 2024

Pancreaticoduodenectomy is a complex intra-abdominal operation used for the treatment of benign and malignant disease pancreatic head or periampullary region. Despite developments in surgical techniques, pancreaticoduodenectomy still associated with high rate postoperative complications. We performed this systematic review meta-analysis to compare outcomes isolated Roux-en-Y pancreaticojejunostomy (IRYPJ), conventional pancreaticojejunostomy(CPJ).

Language: Английский

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Hospital charge and resource use analysis of extended-spectrum penicillin antibiotic therapy after pancreatoduodenectomy in intermediate- and high-risk patients

HPB, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 1, 2024

Language: Английский

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From Classic Whipple to Pylorus Preserving Pancreaticoduodenectomy and Ultimately to Pylorus Resecting - Stomach Preserving Pancreaticoduodenectomy: A Review

Chirurgia, Journal Year: 2023, Volume and Issue: 118(4), P. 335 - 335

Published: Jan. 1, 2023

Pancreato-duodenectomia este procedura de elecţie pentru tratamentul chirurgical al tumorilor benigne sau maligne ale regiunii periampulare.Conservarea pilorului a fost stabilită ca cea mai frecventă abordare utilizată în timpul pancreatoduodenectomiei majoritatea centrelor specializate cancerului pancreatic, din întreaga lume.Factorii care au influenţat această predilecţie sunt scurtarea duratei intervenţiei chirurgicale, limitarea pierderilor sânge intraoperatorii, dificultatea tehnică redusă şi rezultatele destul asemănătoare pe termen scurt lung faţă clasicul Whipple.Cu toate acestea, literatura specialitate, se evidenţiază creşterea incidenţei evacuării gastrice întârziate urma pancreato-duodenectomiei

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Drenaje retroperitoneal videoasistido guiado con verde de indocianina en necrosis pancreática: reporte de un caso

Revista de Gastroenterología de México, Journal Year: 2024, Volume and Issue: 89(4), P. 548 - 550

Published: July 18, 2024

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Indocyanine green-guided video-assisted retroperitoneal drainage in pancreatic necrosis: a case report

Revista de Gastroenterología de México (English Edition), Journal Year: 2024, Volume and Issue: 89(4), P. 548 - 550

Published: Oct. 1, 2024

Language: Английский

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Pancreaticoduodenectomy in multivisceral surgeries: clinical experience of two institutions

Annaly khirurgicheskoy gepatologii = Annals of HPB surgery, Journal Year: 2024, Volume and Issue: 29(4), P. 107 - 114

Published: Dec. 19, 2024

Aim . To describe the experience of multivisceral surgeries involving pancreaticoduodenectomy for tumors various localizations, performed in two Russian medical institutions. Materials and methods A retrospective study was conducted on outcomes 251 with institutions from January 2011 to April 2024. Results Tumors pancreatic head, duodenum large papilla were detected 180 cases (71.7%); colorectal 36 (14.3%); gastric 24 (9.6%); extrahepatic bile duct gallbladder 7 (2.8%); renal 3 (1.2%); retroperitoneal tumor 1 case (0.4%). In 107 cases, surgery combined liver resection, including hemihepatectomy cases. Pancreaticoduodenectomy resection 95 Despite extreme variability extent pancreaticoduodenectomy, complication rate mortality amounted 65.7% 7.2%, respectively. Conclusion The structure appears be extremely heterogeneous terms localization, histogenesis, volume surgical interventions. frequency postoperative complications indicates acceptable tolerability such surgeries.

Language: Английский

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