| |  Online-Ressource |
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| Verfasst von: | Klotz, Rosa [VerfasserIn]  |
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| | Hackert, Thilo [VerfasserIn] |
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| | Heger, Patrick [VerfasserIn] |
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| | Probst, Pascal [VerfasserIn] |
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| | Hinz, Ulf [VerfasserIn] |
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| | Loos, Martin [VerfasserIn] |
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| | Berchtold, Christoph [VerfasserIn] |
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| | Mehrabi, Arianeb [VerfasserIn] |
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| | Schneider, Martin [VerfasserIn] |
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| | Müller, Beat P. [VerfasserIn] |
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| | Strobel, Oliver [VerfasserIn] |
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| | Diener, Markus K. [VerfasserIn] |
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| | Mihaljevic, André Leopold [VerfasserIn] |
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| | Büchler, Markus W. [VerfasserIn] |
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| Titel: | The TRIANGLE operation for pancreatic head and body cancers |
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| Titelzusatz: | early postoperative outcomes |
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| Verf.angabe: | Rosa Klotz, Thilo Hackert, Patrick Heger, Pascal Probst, Ulf Hinz, Martin Loos, Christoph Berchtold, Arianeb Mehrabi, Martin Schneider, Beat P. Müller-Stich, Oliver Strobel, Markus K. Diener, André L. Mihaljevic, Markus W. Büchler |
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| Jahr: | 2022 |
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| Umfang: | 10 S. |
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| Fussnoten: | Available online 6 July 2021 ; Gesehen am 01.04.2022 |
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| Titel Quelle: | Enthalten in: HPB |
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| Ort Quelle: | [London] : Elsevier, 1999 |
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| Jahr Quelle: | 2022 |
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| Band/Heft Quelle: | 24(2022), 3, Seite 332-341 |
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| ISSN Quelle: | 1477-2574 |
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| Abstract: | Background - Surgical resection is the mainstay of potential cure for patients with pancreatic cancer, however, local recurrence is frequent. Previously, we have described an extended resection technique for pancreatoduodenectomy aiming at a radical resection of the nerve and lymphatic tissue between celiac artery, superior mesenteric artery and mesenteric-portal axis (TRIANGLE operation). Until now, data on postoperative outcome have not been reported, yet. - Methods - Patients who underwent either partial (PD) or total pancreatoduodenectomy (TP) applying the TRIANGLE procedure were identified. These cohorts were compared to matched historic cohorts with standard resections. - Results - Overall, 330 patients were analysed (PDTRIANGLE and PDSTANDARD, each n = 108; TPTRIANGLE and TPSTANDARD, each n = 57). More lymph nodes were harvested in TRIANGLE compared to standard resection (PD: 27.5 (21-35) versus 31.5 (24-40); P = 0.0187, TP: 33 (28-49) versus 44 (29-53); P = 0.3174) and the rate of tumour positive resections margins, R1(direct), dropped. Duration of operation was significantly longer and blood loss higher. Postoperative mortality and complications did not differ significantly. - Conclusion - Pancreatoduodenectomy according to the TRIANGLE protocol can be performed without increased morbidity and mortality at a high-volume centre. Long-term survival and quality of life need to be investigated in prospective clinical trials with adequate sample size. |
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| DOI: | doi:10.1016/j.hpb.2021.06.432 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.hpb.2021.06.432 |
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| | Volltext: https://www.sciencedirect.com/science/article/pii/S1365182X21006146 |
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| | DOI: https://doi.org/10.1016/j.hpb.2021.06.432 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| K10plus-PPN: | 1797304585 |
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| Verknüpfungen: | → Zeitschrift |
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¬The¬ TRIANGLE operation for pancreatic head and body cancers / Klotz, Rosa [VerfasserIn]; 2022 (Online-Ressource)
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