ISSN |
1007-9327 (print) and 2219-2840 (online) |
Open Access |
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. |
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Surgery |
Manuscript Type |
Retrospective Study |
Article Title |
Trends and outcomes of pancreaticoduodenectomy for periampullary tumors: A 25-year single-center study of 1000 consecutive cases
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Manuscript Source |
Unsolicited Manuscript |
All Author List |
Ayman El Nakeeb, Waleed Askar, Ehab Atef, Ehab El Hanafy, Ahmad M Sultan, Tarek Salah, Ahmed Shehta, Mohamed El Sorogy, Emad Hamdy, Mohamed El Hemaly, Ahmed A El-Geidie, Tharwat Kandiel, Mohamed El Shobari, Talaat Abd Allah, Amgad Fouad, Mostaffa Abu Zeied, Ahmed Abo ElEnin, Nabil Gad El-Hak, Gamal El Ebidy, Omar Fathy, Ahmed Sultan and Mohamed Abd Wahab |
ORCID |
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Funding Agency and Grant Number |
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Corresponding Author |
Ayman El Nakeeb, Professor, Gastroenterology Surgical Center, Mansoura University, Mansoura 35516, Egypt. elnakeebayman@mans.edu.eg |
Key Words |
Pancreaticodudenectomy; Pancreaticogastrostomy; Pancreaticojejunostomy; Postoperative pancreatic fistula; Periampullary tumour |
Core Tip |
Pancreaticoduodenectomy (PD) is a complex abdominal procedure. The hospital mortality rate has decreased to less than 5% however the rate of postoperative morbidities remains high, from 40% to 50%. Pancreatic reconstruction following PD is still debatable. The long survival rate after PD is clearly improved with time but still poor. The frequency of PD is increasingly performed. With time, elderly, cirrhotic, obese patients, patients with uncinate process carcinoma and borderline tumour are increasingly selected for PD. The median operative time and posoperative hospital stay decreased significantly. The hospital mortality is declined significantly from 6.6% to 3.1%. The postoperative complications is significantly decreased. |
Publish Date |
2017-10-16 07:24 |
Citation |
El Nakeeb A, Askar W, Atef E, EI Hanafy E, Sultan AM, Salah T, Shehta A, El Sorogy M, Hamdy E, El Hemly M, El-Geidi AA, Kandil T, El Shobari M, Allah TA, Fouad A, Zeid MA, El Eneen AA, EI-Hak NG, El Ebidy G, Fathy O, Sultan A, Wahab MA. Trends and outcomes of pancreaticoduodenectomy for periampullary tumors: A 25-year single-center study of 1000 consecutive cases. World J Gastroenterol 2017; 23(38):7025-7036 |
URL |
http://www.wjgnet.com/1007-9327/full/v23/i38/7025.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v23.i38.7025 |