Please use this identifier to cite or link to this item:
https://open.uns.ac.rs/handle/123456789/9040
Title: | Intraoperative fluid management and complications following pancreatectomy | Authors: | Grant F. Protić, Mlađan Gonen M. Allen P. Brennan M. |
Issue Date: | 1-Apr-2013 | Journal: | Journal of Surgical Oncology | Abstract: | Background Considerable debate exists as to appropriate perioperative fluid management. Data from several studies suggest that the amount of fluid administered perioperatively influences surgical outcome. Pancreatic resection is a major procedure in which complications are common. We examined 1,030 sequential patients who had undergone pancreatic resection at Memorial Sloan-Kettering Cancer Center. We documented the prevalence and nature of their complications, and then correlated complications to intraoperative fluid administration. Methods We retrospectively examined 1,030 pancreatic resections performed at Memorial Sloan-Kettering Cancer Center between May 2004 and December 2009 from our pancreatic database. Intraoperative administration of colloid and crystalloid was obtained from anesthesia records, and complication data from our institutional database. Results The overall in-hospital mortality was 1.7%. Operative mortality was due predominantly to intraabdominal infection. Sixty percent of the mortality resulted from intraabdominal complications related to the procedure. We did not demonstrate a clinically significant relationship between intraoperative fluid administration and complications, although minor statistical significance was suggested. Conclusions In this retrospective review of intraoperative fluid administration we were not able to demonstrate a clinically significant association between postoperative complications and intraoperative crystalloid and colloid fluid administration. A randomized controlled trial has been initiated to address this question. © 2012 Wiley Periodicals, Inc. | URI: | https://open.uns.ac.rs/handle/123456789/9040 | ISSN: | 224790 | DOI: | 10.1002/jso.23287 |
Appears in Collections: | MDF Publikacije/Publications |
Show full item record
SCOPUSTM
Citations
30
checked on May 10, 2024
Page view(s)
44
Last Week
2
2
Last month
0
0
checked on May 10, 2024
Google ScholarTM
Check
Altmetric
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.