Causes and predictors of unplanned reoperations within 30 days post laparoscopic pancreaticoduodenectomy: a comprehensive analysis

Postoperative bleeding is the primary cause of unplanned reoperations after LPD. Independent risk factors, confirmed by multivariate analysis, include low pre-operative serum prealbumin, elevated CRP on POD-7, vascular reconstruction, soft pancreatic texture, and a main pancreatic duct diameter of ≤3 mm. Comprehensive peri-operative management focusing on these risk factors can reduce the likelihood of unplanned reoperations and improve patient outcomes.

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Publication Details

Journal
Frontiers in Oncology
Published
2024-08-23
DOI
https://doi.org/10.3389/fonc.2024.1464450
Primary Topic
Pancreatic and Hepatic Oncology Research
Type
article
Field-Weighted Citation Impact
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article

Causes and predictors of unplanned reoperations within 30 days post laparoscopic pancreaticoduodenectomy: a comprehensive analysis

Yin Jiang, Yongfei Hua, Rajesh Kumar Yadav, Gaoqing Wang et al.
Frontiers in Oncology
Pancreatic and Hepatic Oncology Research
article

Causes and predictors of unplanned reoperations within 30 days post laparoscopic pancreaticoduodenectomy: a comprehensive analysis

Yin Jiang, Yongfei Hua, Rajesh Kumar Yadav, Gaoqing Wang, Yudi Meng, Dipesh Kumar Yadav, Shiwei Zhang, Junyu Chen, Chengwei Wang, Alina Singh, Yihu Mao, Guoquan Gao, Jie Zhang
article en

Abstract

Postoperative bleeding is the primary cause of unplanned reoperations after LPD. Independent risk factors, confirmed by multivariate analysis, include low pre-operative serum prealbumin, elevated CRP on POD-7, vascular reconstruction, soft pancreatic texture, and a main pancreatic duct diameter of ≤3 mm. Comprehensive peri-operative management focusing on these risk factors can reduce the likelihood of unplanned reoperations and improve patient outcomes.

Frontiers in OncologyVol. 14
Ningbo University (CN), Wenzhou Medical University (CN), Ningbo Medical Center Lihuili Hospital (CN), University of Louisiana at Monroe (US)
Good health and well-being
Openalex Percentile: Top 76%
Pancreatic and Hepatic Oncology Research
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