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ID 114075
タイトル別表記
Prediction of POPF using CRP after LG
著者
山田, 眞一郎 Ehime Prefectural Central Hospital|Tokushima University 徳島大学 教育研究者総覧 KAKEN研究者をさがす
Yagi, Shigehiko Ehime Prefectural Central Hospital
Sato, Koichi Ehime Prefectural Central Hospital
Shin’e, Mikiya Ehime Prefectural Central Hospital
Sakamoto, Akimasa Ehime Prefectural Central Hospital
Utsunomiya, Daichi Ehime Prefectural Central Hospital
Okikawa, Shohei Ehime Prefectural Central Hospital
Aibara, Norimasa Ehime Prefectural Central Hospital
Watanabe, Miya Ehime Prefectural Central Hospital
Obatake, Masayoshi Ehime Prefectural Central Hospital
Ono, Riki Ehime Prefectural Central Hospital
Fujii, Masahiko Ehime Prefectural Central Hospital
Otani, Hiromi Ehime Prefectural Central Hospital
Kawasaki, Hideki Ehime Prefectural Central Hospital
キーワード
laparoscopic gastrectomy
postoperative pancreatic fistula
C-reactive protein
資料タイプ
学術雑誌論文
抄録
Purpose : Postoperative pancreatic fistula (POPF) is a serious complication after gastrectomy for gastric cancer. The purpose of this study is to identify the risk factor of POPF and evaluate C-reactive protein on postoperative day 1 (POD1) as the predictor for POPF after laparoscopic gastrectomy (LG). Methods : Between May 2013 and September 2016, 226 patients who underwent LG for gastric cancer were investigated. Patients were divided into 2 groups; POPF group (n = 17) and control group (n = 209). Clinicopathological factors were compared between 2 groups. Results : In POPF group, there are more male patients (p = 0.003) compared with control group. Preoperative factors, such as age, BMI, and prevalence of previous operation and comorbidity showed no significant difference between 2 groups. Regarding tumor factors and perioperative data such as blood loss and operative time, there were also no significant difference between 2 groups. POPF group showed longer postoperative hospital stay, and higher serum CRP level on POD1 (p < 0.0001). Multivariate analysis revealed that high CRP level on POD1 ( ≥ 3mg/dl) was independent risk factor of POPF. Conclusions : High serum CRP level on POD1 can predict the occurrence of POPF.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA12022913
AA11166929
出版者
Tokushima University Faculty of Medicine
66
3-4
開始ページ
285
終了ページ
288
並び順
285
発行日
2019-08
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
病院