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Komplikationen und deren Management in der Pankreaschirurgie

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Hepatobiliäre und Pankreastumoren

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Zusammenfassung

Resektionen am Pankreas gehen mit einer substanziellen Morbidität und Mortalität einher. Gründe hierfür sind die Komplexität des chirurgischen Eingriffs, die Notwendigkeit einer Anastomosierung, eines Nahtverschlusses des verbleibenden Pankreasrestes und bei Patienten mit Pankreaskarzinom die in der Regel vorhandene Co-Morbidität. Über die letzten Jahrzehnte hinweg konnte die postoperative Letalität in den Zentren für Pankreaschirurgie auf unter 5% reduziert werden (Makowiec et al. 2005), während die postoperative Morbidität bei ebenfalls rückläufiger Tendenz mit ca. 40% immer noch erheblich ist (Cameron et al. 2006). Die Analyse von Sammelstatistiken konnte eine statistisch signifikant niedrigere Letalität in Kliniken mit hohen Fallzahlen bestätigen (⊡Tab. 28.1). Dies wird insbesondere auch auf das verbesserte Komplikationsmanagement in erfahrenen Zentren zurückgeführt. Dabei wird die Definition eines high-volume-Zentrums willkürlich gehandhabt und beträgt zwischen 10 und 50 resezierenden Pankreaseingriffen pro Jahr.

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Authors and Affiliations

  1. Dietrich-Bonhoeffer-Klinikum, Klinik für Allgemein-, Viszeral-, Gefäßund Thoraxchirurgie, Allendestraße 30, 17036, Neubrandenburg

    Prof. Dr. med. M. Ernst

  2. Campus Kiel Klinik für Allgemeine Chirurgie und Thoraxchirurgie, Universitätsklinikum Schleswig-Holstein, Arnold-Heller-Straße 3 (Haus 18), 24105, Kiel

    PD Dr. med. L. Müller

Authors
  1. Prof. Dr. med. M. Ernst
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  2. PD Dr. med. L. Müller
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Ernst, M., Müller, L. (2010). Komplikationen und deren Management in der Pankreaschirurgie. In: Hepatobiliäre und Pankreastumoren. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-04935-4_28

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  • DOI: https://doi.org/10.1007/978-3-642-04935-4_28

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-04934-7

  • Online ISBN: 978-3-642-04935-4

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