Prediction of Complications After Pancreaticoduodenectomy: Validation of a Postoperative Complication Score.

Détails

ID Serval
serval:BIB_4A0DB13A337D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Prediction of Complications After Pancreaticoduodenectomy: Validation of a Postoperative Complication Score.
Périodique
Pancreas
Auteur(s)
Joliat G.R., Petermann D., Demartines N., Schäfer M.
ISSN
1536-4828 (Electronic)
ISSN-L
0885-3177
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
44
Numéro
8
Pages
1323-1328
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
OBJECTIVES: Pancreatic surgery remains associated with important morbidity. Efforts are most commonly concentrated on decreasing postoperative morbidity, but early detection of patients at risk could be another valuable strategy. A simple prognostic score has recently been published. This study aimed to validate this score and discuss possible clinical implications.
METHODS: From 2000 to 2012, 245 patients underwent a pancreaticoduodenectomy. Complications were graded according to the Dindo-Clavien Classification. The Braga score is based on American Society of Anesthesiologists score, pancreatic texture, Wirsung duct diameter, and blood loss. An overall risk score (0-15) can be calculated for each patient. Score discriminant power was calculated using a receiver operating characteristic curve.
RESULTS: Major complications occurred in 31% of patients compared with 17% in Braga's data. Pancreatic texture and blood loss were independently statistically significant for increased morbidity. Areas under the curve were 0.95 and 0.99 for 4-risk categories and for individual scores, respectively.
CONCLUSIONS: The Braga score discriminates well between minor and major complications. Our validation suggests that it can be used as a prognostic tool for major complications after pancreaticoduodenectomy. The clinical implications, that is, whether postoperative treatment strategies should be adapted according to the patient's individual risk, remain to be elucidated.
Pubmed
Web of science
Création de la notice
17/11/2015 18:20
Dernière modification de la notice
20/08/2019 14:57
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