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001-es BibID:BIBFORM091823
Első szerző:Szentkereszty Zsolt (sebész)
Cím:Comparative Study of Conventional and Transgastric Necrosectomy for Wide Extended Walled-of Pancreatic Necrosis / Szentkereszty Zs., Krasnyánszky Nóra, Kammili A., Balog K., Berhes M., Sápy P. Gy.
Dátum:2020
Megjegyzések:ABSTRACTPurpose: Even though endoscopic necrosectomy for walled-off pancreatic necrosis is safe and effective, open surgeryhas an important role in cases with extended necrosis when the non-surgical approaches are not feasible. Authorscompare their results of conventional and transgastric open necrosectomy.Methods: A total of 29 patients were treated with extended walled-off pancreatic necrosis. Conventional opennecrosectomy with closed bursal lavage was performed in group A (18 patients) and transgastric necrosectomy wasperformed in group B (11 patients). There were no significant differences between the two groups related to sex, age,etiology of pancreatitis, size of WOPN and time elapsed from the onset of disease and surgery.Results: For all complications, the difference was significant between both groups (p=0.003). In group A, 13reoperations were performed in 9 patients and none were required in group B. The difference between both groupswas significant (p=0.01). The length of hospital stay was 23 ? 14.16 days in group A and 12 ? 2.2 days in group B. Thedifference was significant (p=0.001). The mortality in group A was higher than in group B (p=0.143), but it was notsignificant. The mean mortality rate was 13.8% in 29 patients.Conclusion: In patients with extended walled-off pancreatic necrosis, the open transgastric necrosectomy has betterresults than conventional necrosectomy.Keywords: Walled-off pancreatic necrosis; Open surgeryAbbreviations: WOPN: Walled-off Pancreatic Necrosis; LOS: Length of Hospital Stay
Tárgyszavak:Orvostudományok Klinikai orvostudományok esettanulmány
folyóiratcikk
Walled-off pancreatic necrosis
Open surgery
Megjelenés:Pancreatic Disorders and Therapy. - 10 : 1 (2020), p. 1-6. -
További szerzők:Krasnyánszky Nóra Kammili, A. Balog Klaudia (1988-) (sebész szakorvos) Berhés Mariann (1975-) (orvos) Sápy Péter (1942-) (sebész)
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