ID | 118319 |
Title Alternative | Pancreatectomy in patients with HD
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Author |
Teraoku, Hiroki
Tokushima University
Tokushima University Educator and Researcher Directory
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Morine, Yuji
Tokushima University
Tokushima University Educator and Researcher Directory
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Ikemoto, Tetsuya
Tokushima University
Tokushima University Educator and Researcher Directory
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Yamada, Shinichiro
Tokushima University
Tokushima University Educator and Researcher Directory
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Okikawa, Shohei
Tokushima University
Miyazaki, Katsuki
Tokushima University
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Keywords | Hemodialysis
Pancreas
Surgery
Pancreatic resection
Pancreaticoduodenectomy
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Content Type |
Journal Article
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Description | Background : Several reports have shown the high mortality rate of pancreatic resection in patients with hemodialysis (HD), however, its long-term outcome remains unclear. In this study, we examined cases of pancreatic resection in patients with HD and conducted a literature review. Methods : Four patients with HD who underwent pancreatic resection from 2004 to 2019 were enrolled. To compare the clinicopathological variables of HD and non-HD patients, 161 non-HD patients who had undergone surgical resection for pancreatic cancer were enrolled. Results : Among four cases of pancreatic resection with HD, three cases were malignant diseases. All patients with HD had some co-morbidities (100% in HD group, 45.3% in the non-HD group) and postoperative complications (100% in the HD group, vs 46.6% in the non-HD group). Although one patient had severe postoperative complications and length of postoperative hospital stay was longer, the 30- and 90-day mortality rates were both 0% in patients with HD. However, three cases in the HD group (75%) died approximately 6 months after surgery, including one cancer-related death. Conclusions : Pancreatic surgery in patients with HD should be carefully indicated, especially pancreaticoduodenectomy or total pancreatectomy, because of the poor prognosis induced by non-cancer-related causes of death.
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Journal Title |
The Journal of Medical Investigation
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ISSN | 13496867
13431420
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NCID | AA11166929
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Publisher | Tokushima University Faculty of Medicine
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Volume | 70
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Issue | 1-2
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Start Page | 105
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End Page | 109
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Sort Key | 105
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Published Date | 2023-02
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DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
University Hospital
Medical Sciences
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