Abstract:
OBJECTIVE:To define the cost of pancreatectomies and to identify factors associated with increased hospital costs after pancreatic resection. METHODS:All patients undergoing pancreatic surgery in our department between January 2008 and December 2014 were included. All complications occurring during hospitalization or in the 90-day period after discharge were documented. The hospital costs were analyzed and predictive factors of increased hospital costs were determined. RESULTS:One hundred and twenty seven patients were identified. Most patients underwent pancreatectomy for malignant tumors (70%). Median hospital costs were 21,392 [15,998-29,667] euros. Age (P=0.011) and preoperative jaundice (P<0.001) were associated with higher hospital costs. Intraoperative surgical time and blood loss were correlated with increased costs (P=0.001 and P=0.002, respectively). Pancreatoduodenectomy was associated with statistically significantly higher costs compared to distal pancreatectomy (21,770 vs. 15,422 euros, P=0.001). Severe postoperative complications (Clavien-Dindo grade≥3) (P=0.001), septic complications (P=0.002) and hemorrhage (P=0.001) statistically significantly increased costs. In multivariate analysis, septic (P=0.003) and severe complications (P=0.01) were statistically significantly associated with increased hospital costs. CONCLUSION:Pancreatic surgery is associated with high hospital costs, essentially related to postoperative complications.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
El Amrani M,Fulbert M,Lenne X,Clément G,Drumez E,Pruvot FR,Truant Sdoi
10.1016/j.jviscsurg.2018.04.003subject
Has Abstractpub_date
2018-12-01 00:00:00pages
465-470issue
6issn
1878-7886pii
S1878-7886(18)30055-9journal_volume
155pub_type
杂志文章abstract::Whereas surgical resection is the only curative treatment for liver tumors, effective treatment for isolated unresectable lesions when there is tumor progression in spite of several lines of chemotherapy remains to be found. We report herein two cases of patients treated by a 1-hour Hyperthermic Isolated Liver Perfusi...
journal_title:Journal of visceral surgery
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abstract:INTRODUCTION:Diaphragmatic rupture following blunt trauma occurs rarely. Classically described after high-velocity accidents, ruptures are often associated with multiple organ injuries. The diagnosis is sometimes difficult. The goal of this study was to analyze and to discuss the modalities of early radiologic diagnosi...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,多中心研究
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
pub_type: 杂志文章
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journal_title:Journal of visceral surgery
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
pub_type: 杂志文章
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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更新日期:2013-02-01 00:00:00
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journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2016.04.014
更新日期:2016-08-01 00:00:00
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journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2019.02.001
更新日期:2019-10-01 00:00:00
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journal_title:Journal of visceral surgery
pub_type: 杂志文章
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journal_title:Journal of visceral surgery
pub_type: 杂志文章
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journal_title:Journal of visceral surgery
pub_type: 杂志文章
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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journal_title:Journal of visceral surgery
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abstract:OBJECTIVE:To compare the effectiveness of tube sigmoidostomy and sigmoidopexy as effective treatment options for patients with acute uncomplicated sigmoid volvulus. METHODS:The records of 72 patients with acute uncomplicated sigmoid volvulus with obstruction who were treated by tube sigmoidostomy (Group I: n=32) and s...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
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abstract::The main objectives of the reform of the 3rd cycle of medical studies in France that was instituted in 2017 after eight years of preparation, are to train future specialists in a consistent and equitable fashion and to replace the previous time-based qualification by training based on the progressive acquisition of sk...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2020.02.007
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abstract::Malpractice claims are a regularly increasing concern in gastrointestinal surgery. The goal of this study was to compare the current status of claims in two different French-speaking communities by a retrospective descriptive study of surgeons' experiences, from the beginning of their practice up until December 31 201...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
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abstract::Two principal branches from the aorta provide the colonic blood supply: the superior and inferior mesenteric arteries. There are numerous anatomical variations, which the surgeon must fully understand before embarking on any colonic surgery. A good knowledge of these variations is particularly important when the patie...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jviscsurg.2016.02.002
更新日期:2016-04-01 00:00:00
abstract::Re-admission is a new concept in France, born with the advent of day-case surgery, and defined as any re-admission occurring within 30 days after surgery. The re-admission rate has increasingly come to be considered a criterion of the quality of medical care, by both the medical profession and by insurance companies. ...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jviscsurg.2015.09.013
更新日期:2015-12-01 00:00:00
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journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jviscsurg.2018.01.004
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abstract:PURPOSE:To evaluate the impact of truncal versus terminal branch ligature of the inferior thyroid artery (ITA) on postoperative calcium and PTH plasma levels in patients undergoing total thyroidectomy for multinodular goiter. METHODS:A prospective randomized study was performed comparing a group of patients that under...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jviscsurg.2010.08.020
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abstract::Intestinal transplantation (IT) can involve small bowel transplantation alone, or be associated with liver or multivisceral transplantation. Although IT is the radical treatment for intestinal failure, home parenteral nutrition (PN) remains the treatment of choice for this disease. Indications for IT are still debated...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
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