Preoperative endoscopic ultrasound-guided biopsy for resectable pancreatic head tumors increases operative time but not complications - a single center cohort study.

IF 12.5 2区医学 Q1 SURGERY

International journal of surgery Pub Date : 2024-09-05 DOI:10.1097/JS9.0000000000002068

Chien-Hui Wu, Te-Wei Ho, Ching-Hsuan Chen, Kuo-Liong Chien, Yu-Wen Tien

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引用次数: 0

Abstract

Background: Endoscopic ultrasound-guided aspiration or biopsy allows preoperative confirmation of malignancy but is not necessary for resectable pancreatic cancer. Preoperative biopsy may induce pancreatitis, making surgery difficult and complex. Therefore, we performed a retrospective study to evaluate the association between preoperative endoscopic ultrasound-guided biopsy and surgical outcomes in patients with resectable pancreatic head tumors.

Materials and methods: A prospectively enrolled cohort from a single high-volume pancreatic center was analyzed. Between 2007 and 2019, a total of 518 patients with resectable pancreatic head tumors underwent pancreaticoduodenectomy. This analysis was performed to determine the association of preoperative endoscopic ultrasound-guided biopsy with operating time and major complications.

Results: In 518 patients who received pancreaticoduodenectomy, 164 patients (31.6%) underwent preoperative endoscopic ultrasound-guided biopsy. Endoscopic ultrasound-guided biopsy increased surgical time (46.9 min, confidence interval: 25.1-68.8, P-value <0.05) without increasing complications (odds ratio: 0.53, confidence interval: 0.31-1.29, P-value=0.29).

Conclusion: Preoperative endoscopic ultrasound-guided biopsy for pancreatic head tumors may increase operative time but is not associated with an increased risk of mortality and complications.

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对可切除的胰头肿瘤进行术前内镜超声引导活检会延长手术时间，但不会增加并发症--一项单中心队列研究。

背景：内镜超声引导下抽吸或活检可在术前确认恶性肿瘤，但对于可切除的胰腺癌来说并非必要。术前活检可能会诱发胰腺炎，使手术变得困难和复杂。因此，我们进行了一项回顾性研究，评估可切除胰头肿瘤患者术前内镜超声引导活检与手术结果之间的关联：分析了来自一个高容量胰腺中心的前瞻性入组患者。2007年至2019年期间，共有518名可切除胰头肿瘤患者接受了胰十二指肠切除术。该分析旨在确定术前内镜超声引导活检与手术时间和主要并发症的关系：结果：在518名接受胰十二指肠切除术的患者中，有164名患者（31.6%）在术前接受了内镜超声引导下活检。内镜超声引导下活检增加了手术时间（46.9 分钟，置信区间：25.1-68.8，P 值结论：胰头肿瘤术前内镜超声引导下活检可能会增加手术时间，但与死亡率和并发症风险的增加无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of surgery SURGERY-

CiteScore

17.70

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Surgery (IJS) has a broad scope, encompassing all surgical specialties. Its primary objective is to facilitate the exchange of crucial ideas and lines of thought between and across these specialties.By doing so, the journal aims to counter the growing trend of increasing sub-specialization, which can result in "tunnel-vision" and the isolation of significant surgical advancements within specific specialties.