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Analysis of the Short-Term Complications of Laparoscopic Pancreaticoduodenectomy in Patients with Metabolic Syndrome.
Wu, Xiwen; Wang, Xue; Jang, Huiyu; Du, Yu; Liu, Yahui; Wang, Shupeng; Fu, Yu.
Afiliación
  • Wu X; First Operating Room of the First Hospital of Jilin University, Changchun, China.
  • Wang X; First Operating Room of the First Hospital of Jilin University, Changchun, China.
  • Jang H; First Operating Room of the First Hospital of Jilin University, Changchun, China.
  • Du Y; First Operating Room of the First Hospital of Jilin University, Changchun, China.
  • Liu Y; Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, China.
  • Wang S; Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, China.
  • Fu Y; Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, First Hospital of Jilin University, Changchun, China.
J Laparoendosc Adv Surg Tech A ; 34(6): 505-511, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38669305
ABSTRACT

Objective:

To investigate the impact of metabolic syndrome (MetS) on short-term complications of laparoscopic pancreaticoduodenectomy (LPD). Materials and

Methods:

We retrospectively analyzed perioperative data of patients who underwent LPD in our department from January 2020 to January 2022. The patients were divided into the MetS group and non-MetS group based on whether they had MetS. The incidence of postoperative complications and mortality rate was compared between the two groups.

Results:

The study involved 279 patients, with 30 having MetS and 249 without. However, the MetS and non-MetS groups differed significantly in terms of postoperative pancreatic fistula rate (26.6% versus 8.4%), abdominal infection rate (33.3% versus 10.0%), pulmonary complications rate (16.7% versus 6.42%), Clavien-Dindo ≥3 rate (20% versus 8.0%), multiple complications rate (23.3% versus 9.6%), percutaneous drainage rate (33.3% versus 10.0%), 90-day mortality rate (6.7% versus 1.2%), and length of postoperative hospital stay (15.00 ± 12.78 versus 10.63 ± 5.23 days). However, the two groups differed no significantly with respect to age, gender, American Society of Anesthesiologists score, preoperative CA125/CA199 levels, surgery time, specimen removal time, and intraoperative blood loss.

Conclusion:

MetS increases the incidence of postoperative complications and perioperative mortality rate in LPD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Pancreaticoduodenectomía / Laparoscopía / Síndrome Metabólico Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Pancreaticoduodenectomía / Laparoscopía / Síndrome Metabólico Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Laparoendosc Adv Surg Tech A Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos