Short-term outcomes after duodenal surgery for mesenchymal tumors: a retrospective analysis from a single tertiary referral center.
Adolescent
Adult
Aged
Aged, 80 and over
Duodenum
/ surgery
Female
Gastrointestinal Neoplasms
/ surgery
Gastrointestinal Stromal Tumors
/ surgery
Humans
Male
Middle Aged
Retroperitoneal Neoplasms
/ surgery
Retrospective Studies
Sarcoma
/ surgery
Tertiary Care Centers
/ statistics & numerical data
Treatment Outcome
Young Adult
Duodenal resection
Gastrointestinal stromal tumors
Retroperitoneal sarcoma
Surgical complications
Journal
Updates in surgery
ISSN: 2038-3312
Titre abrégé: Updates Surg
Pays: Italy
ID NLM: 101539818
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
18
09
2018
accepted:
22
06
2019
pubmed:
5
7
2019
medline:
30
1
2020
entrez:
5
7
2019
Statut:
ppublish
Résumé
Duodenal resections are sometimes necessary for radical surgery. We analyzed technical aspects and post-operative outcomes in patients with RPS and GIST involving duodenum. We identified patients who underwent duodenal resection for RPS and GIST at our Institute between 2000 and 2016. Clinical, pathological and treatment variables were analyzed. Thirty patients were treated: 15 for GIST, 15 for RPS. Sixteen duodenal wedge resections (WR) and 14 segmental resections (SR) were performed. Multi-organ resection was frequently performed (63.4%). Median time to flatus was 3 days (range 1-6), to oral refeeding 4.5 (range 2-15). Overall postoperative morbidity rate was 53% (16/30): Clavien Dindo grade ≤ II: 10; duodenum-related complication rate was 33% (10/30), Clavien Dindo grade ≤ II: 9. Morbidity rates were higher in SR than WR. Duodenal resections for RPS and GIST have significant morbidity rate and whenever it is possible, WR is preferable to SR because of the lower morbidity rate.
Identifiants
pubmed: 31270684
doi: 10.1007/s13304-019-00667-8
pii: 10.1007/s13304-019-00667-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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