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Can the physiologic ability and surgical stress (E-PASS) scoring system predict operative morbidity after distal pancreatectomy?

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Abstract

Purpose

Mortality rates after pancreatic resection are now lower than 5% in high-volume centers; however, morbidity remains high. This stresses the importance of identifying accurate predictors of operative morbidity after pancreatic resection. The Estimation of Physiologic Ability and Surgical Stress (E-PASS) scoring system was developed for a comparative audit of general surgical patients. Our previous study confirmed its usefulness for predicting morbidity after pancreaticoduodenectomy. In the present study, we evaluated whether the E-PASS scoring system can predict the occurrence of complications after distal pancreatectomy (DP).

Methods

The subjects were 46 patients who underwent DP for pancreatic disease. We studied correlations between the incidence of postoperative complications and the preoperative risk score (PRS), surgical stress score (SSS), and comprehensive risk score (CRS) of the E-PASS scoring system.

Results

A collective total of 20 postoperative complications developed in 13 (28.3%) of the 46 patients. All E-PASS scores, particularly PRS and CRS, were significantly higher in the patients with postoperative complications than in those without complications. The complication rate increased with increasing PRS, SSS, and CRS scores.

Conclusion

The E-PASS scoring system is useful for predicting morbidity after DP.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan

    Daisuke Hashimoto, Hiroshi Takamori, Yasuo Sakamoto, Hiroshi Tanaka & Hideo Baba

  2. Department of Surgery, Kumamoto Regional Medical Center, Kumamoto, Japan

    Daisuke Hashimoto & Masahiko Hirota

Authors
  1. Daisuke Hashimoto
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  2. Hiroshi Takamori
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  3. Yasuo Sakamoto
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  4. Hiroshi Tanaka
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  5. Masahiko Hirota
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  6. Hideo Baba
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Hashimoto, D., Takamori, H., Sakamoto, Y. et al. Can the physiologic ability and surgical stress (E-PASS) scoring system predict operative morbidity after distal pancreatectomy?. Surg Today 40, 632–637 (2010). https://doi.org/10.1007/s00595-009-4112-8

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  • DOI: https://doi.org/10.1007/s00595-009-4112-8

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