在胰腺切除术中选择移植:在选择的患者中同等安全性
Daniel Hoffman1, Amir Ashraf Ganjouei1, Fernanda Romero Hernandez1
1Department of Surgery, University of California, San Francisco, CA, United States.
概括
胰腺癌手术通常涉及血管切除和重建. 不被怀疑的血管干扰是常见的,但经过仔细的患者选择和适当的移植使用,结果是好的.
科学领域:
- 手术瘤学手术瘤学
- 血管外科 血管外科
- 胃肠道手术 胃肠道手术
背景情况:
- 胰腺癌是癌症死亡的主要原因之一.
- 手术切除提供了长期生存的唯一机会.
- 管理血管干扰是切除能力的关键.
研究的目的:
- 为了研究胰腺切除术中的血管切除和重建模式.
- 评估胰腺手术期间血管管理的结果和并发症.
主要方法:
- 一个中心的回顾性审查 (2010-2022年).
- 包括接受胰腺切除术的成年患者,血管参与.
- 主要终点:90天内移植血栓形成.
主要成果:
- 分析了147名患者;21.8%的人没有怀疑的血管干扰.
- 68%的血管需要重建,32%的血管需要修复.
- 没有发现血栓形成的预测因素; CryoVein 显示了与自身移植相似的结果.
结论:
- 带有血管切除的胰腺切除术是可行的,死亡率低.
- 不被怀疑的血管干扰是常见的.
- 当需要时,CryoVein是一种安全的替代品,可以替代自身移植.
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