Ve Cerrahii......

Much progress has been observed following PD in recent years, such that an operation that in the 1960s and 1970s had a mortality of 20% to 40% is now associated with an operative mortality of 1% to 3% at most high-volume institutions. Ample evidence suggests that perioperative morbidity, mortality, and median survival are improved when the procedure is performed at high-volume institutions that carry out more than 20 PDs per year; several institutions in the United States perform over 100 PDs annually. Hospital stays that commonly lasted beyond 2 weeks are now 6 to 8 days in most cases. These remarkable improvements are due not only to advances in operative technique but also in management algorithms , perioperative critical care, standardized intervention for complications, the institution of critical pathways for postoperative treatment, improvements in endoscopic and interventional radiology techniques, and increasing experience of surgeons. Despite these advancements, PD still carries a high perioperative morbidity of 30% to 40%, with the most common postoperative complications being pancreatic fistula, delayed gastric emptying, intraabdominal abscess, wound infection, urinary tract infection, and cardiac arrhythmia.

Yorumlar ; Iyi merkezlerde operasyona bagli mortalite yuzde 1 dir.