Медицинская литература. Новинки

 

 

 

 

 

 

Факторы риска развития панкреатической фистулы после панкреатодуоденальной резекции

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Панкреатическая фистула является наиболее частым и опасным осложнением панкреатодуоденальной резекции. Для уменьшения риска развития послеоперационной панкреатической фистулы разработаны и валидированы прогностические шкалы. Они основаны на предоперационных данных и результатах интраоперационной оценки плотности железы, диаметре протока поджелудочной железы и других параметрах. Наиболее часто применяемыми и общепризнанными шкалами являются FRS, a-FRS, ua-FRS. С развитием инструментальных методов диагностики, разработкой искусственного интеллекта и накоплением опыта ведения пациентов со злокачественными новообразованиями периампулярной зоны фокус смещается на предоперационную оценку, основанную на данных КТ.

Ключевые слова:
панкреатодуоденальная резекция, послеоперационные осложнения, панкреатическая фистула, прогностическая шкала, факторы риска, pancreaticoduodenectomy, pancreaticoduodenal resection, postoperative complications, pancreatic fistula, prognostic score, risk factors

Литература:
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Risk factors for the development of pancreatic fistula after pancreaticoduodenectomy

Pancreatic fistula refers to the most common and serious complication following pancreaticoduodenectomy. Various prognostic scoring systems have been developed and validated to reduce the risk of postoperative pancreatic fistula. These prognostic scores are based on preoperative data and intraoperative assessments of gland density, pancreatic duct diameter, and other parameters. The most frequently used and widely recognized prognostic scores include FRS, a-FRS, and ua-FRS. Evolution in instrumental methods of diagnosis, development of artificial intelligence, and accumulation of experience in managing patients with periampullary malignancies shift the focus towards preoperative evaluation based on CT data.

Keywords:
панкреатодуоденальная резекция, послеоперационные осложнения, панкреатическая фистула, прогностическая шкала, факторы риска, pancreaticoduodenectomy, pancreaticoduodenal resection, postoperative complications, pancreatic fistula, prognostic score, risk factors