Langenbeck's archives of surgery
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Langenbecks Arch Surg · Mar 2011
The need for extended intensive care after pancreaticoduodenectomy for pancreatic ductal adenocarcinoma.
Pancreaticoduodenectomy (PD) is standard for patients with resectable pancreatic ductal adenocarcinoma (PDAC) in the pancreatic head, neck, and uncinate process, but it is associated with a relatively high morbidity. This study aimed to identify risk factors for extended postoperative intensive care unit (ICU) admission and assess the impact of ICU treatment on patient survival. ⋯ The need for extended ICU admission is associated with higher in-hospital mortality and reduced long-term outcome. The highest mortality was observed after delayed ICU admission. Preoperative diabetes, heart failure and long operations, and intraoperative blood transfusions substantially increased the risk for ICU requirement.
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Langenbecks Arch Surg · Mar 2011
A modified fast-track program for pancreatic surgery: a prospective single-center experience.
The objective of this study is to evaluate the impact of a fast-track protocol in a high-volume center for patients with pancreatic disorders. ⋯ Fast-track programs are feasible, easy, and also applicable for patients undergoing a major surgery such as pancreatic resection.