- Titel
- The image‑based preoperative fistula risk score (preFRS) predicts postoperative pancreatic fistula in patients undergoing pancreatic head resection
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa2-915646
- Quellenangabe
- Scientific reports
Erscheinungsjahr: 2022
Jahrgang: 12
E-ISSN: 2045-2322
Artikelnummer: 4064 - Erstveröffentlichung
- 2022
- Abstract (EN)
- Clinically relevant postoperative pancreatic fistula (CR-POPF) is a common severe surgical complication after pancreatic surgery. Current risk stratification systems mostly rely on intraoperatively assessed factors like manually determined gland texture or blood loss. We developed a preoperatively available image-based risk score predicting CR-POPF as a complication of pancreatic head resection. Frequency of CR-POPF and occurrence of salvage completion pancreatectomy during the hospital stay were associated with an intraoperative surgical (sFRS) and image-based preoperative CT-based (rFRS) fistula risk score, both considering pancreatic gland texture, pancreatic duct diameter and pathology, in 195 patients undergoing pancreatic head resection. Based on its association with fistula-related outcome, radiologically estimated pancreatic remnant volume was included in a preoperative (preFRS) score for POPF risk stratification. Intraoperatively assessed pancreatic duct diameter (p < 0.001), gland texture (p < 0.001) and high-risk pathology (p < 0.001) as well as radiographically determined pancreatic duct diameter (p < 0.001), gland texture (p < 0.001), high-risk pathology (p = 0.001), and estimated pancreatic remnant volume (p < 0.001) correlated with the risk of CR-POPF development. PreFRS predicted the risk of CR-POPF development (AUC = 0.83) and correlated with the risk of rescue completion pancreatectomy. In summary, preFRS facilitates preoperative POPF risk stratification in patients undergoing pancreatic head resection, enabling individualized therapeutic approaches and optimized perioperative management.
- Andere Ausgabe
- Link zum Artikel, der zuerst in „Scientific reports” erschienen ist.
DOI: 10.1038/s41598-022-07970-2 - Freie Schlagwörter (DE)
- Bildbasierter präoperativer Fistel-Risiko-Score (preFRS), Pankreasfistel, Kopf-Resektion, Pankreaschirurgie
- Freie Schlagwörter (EN)
- image‑based preoperative fistula risk score (preFRS), pancreatic fistula, head resection, pancreatic surgery
- Klassifikation (DDC)
- 500
- 600
- Verlag
- Macmillan Publishers Limited, part of Springer Nature, [London]
- Förder- / Projektangaben
- Else Kröner Fresenius Center (EKFZ)
- Version / Begutachtungsstatus
- publizierte Version / Verlagsversion
- URN Qucosa
- urn:nbn:de:bsz:14-qucosa2-915646
- Veröffentlichungsdatum Qucosa
- 06.06.2024
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis
CC BY 4.0