Pylorus preserving total pancreatectomy for metastatic renal cell carcinoma
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説明
reduction of fasting period, earlier starting of oral intake of elemental diet, less laxatives, early removal of drains (postoperative 5th day). Results: The incidence of surgical site infection in the Conventional group and Fast-track group was 28.1 and 15.2%, respectively with significant difference between the two groups (p 1⁄4 0.044). In addition, the incidence of pancreatic fistula (Grade B, C) significantly differed between the two groups (30.9% in the Conventional group and 9.7% in the Fast-track group (p <0.001). The mean length of postoperative hospital stay was 36.1 days in the Conventional group and 22.7 days in the Fast-track group (p <0.001). The mean length of postoperative hospital stay was 23.3 days in the Conventional group and 19.7 days in the Fast-track group, even after excluding patients with postoperative complications (p <0.01). Conclusions: Perioperative care with fast-track management may reduce postoperative complications and decrease the length of hospital stay in patients undergoing pancreaticoduodenectomy.
収録刊行物
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- Pancreatology
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Pancreatology 13 S65-, 2013-07-01
Elsevier BV