2014 年至 2021 年慢性胰腺炎的手术趋势。

IF 1.7 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Andrew Turunen, Sushil Kumar Garg
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引用次数: 0

摘要

目的:我们分析了良性慢性胰腺炎(CP)的年度手术趋势:我们分析了良性慢性胰腺炎(CP)的年度手术趋势,特别研究了死亡率、发病率和胰瘘率。我们还旨在确定胰瘘形成的预测因素:在这项分析中,我们使用了美国外科医生学会国家外科质量改进计划(American College of Surgeons National Surgical Quality Improvement Program)从 2014 年到 2021 年的数据。研究对象包括接受良性 CP 手术的患者。收集的数据包括患者人口统计学、术前变量和术后结果。数据分析采用单变量和多变量分析,显著性定义为P≤0.05:研究期间,胰腺外科手术的数量增加了 49.3%,但专门针对 CP 的手术减少了 31.7%。胰瘘形成率下降了 44.9%,死亡率下降了 31.9%。胰瘘的重要预测因素包括无糖尿病、术前败血症、胰腺质地较软以及患者体重较大:结论:尽管手术干预对长期疼痛治疗有显著疗效,但良性胰腺癌手术却大幅减少。死亡率和胰瘘形成率的同时下降表明,研究期间手术和术后护理取得了进步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical Trends in Chronic Pancreatitis from 2014 Through 2021.

Objectives: We analyzed annual surgical trends for benign chronic pancreatitis (CP), studying specifically mortality, morbidity, and pancreatic fistula rates. We also aimed to identify predictors of pancreatic fistula formation.

Methods: For this analysis, we used data from the American College of Surgeons National Surgical Quality Improvement Program from 2014 through 2021. The study included patients who underwent surgery for benign CP. Data collected included patient demographics, preoperative variables, and postoperative outcomes. Data were analyzed with univariate and multivariate analyses, with significance defined as P ≤ .05.

Results: Over the study period, the number of pancreatic surgical procedures increased 49.3%, although surgery specifically for CP declined by 31.7%. The rate of pancreatic fistula formation decreased 44.9%, and mortality decreased 31.9%. Significant predictors of a pancreatic fistula included no diabetes, preoperative sepsis, soft texture of the pancreatic gland, and greater patient weight.

Conclusion: Surgery for benign CP decreased substantially despite the established efficacy of surgical intervention for long-term pain management. The concurrent decline in mortality and rates of pancreatic fistula formation suggest advances over the study years in surgical and postoperative care.

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来源期刊
Pancreas
Pancreas 医学-胃肠肝病学
CiteScore
4.70
自引率
3.40%
发文量
289
审稿时长
1 months
期刊介绍: Pancreas provides a central forum for communication of original works involving both basic and clinical research on the exocrine and endocrine pancreas and their interrelationships and consequences in disease states. This multidisciplinary, international journal covers the whole spectrum of basic sciences, etiology, prevention, pathophysiology, diagnosis, and surgical and medical management of pancreatic diseases, including cancer.
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