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Frey’s plus versus Frey’s procedure for chronic pancreatitis: Analysis of postoperative outcomes and quality of life
- Source :
- Annals of Hepato-Biliary-Pancreatic Surgery
- Publication Year :
- 2020
- Publisher :
- The Korean Association of Hepato-Biliary-Pancreatic Surgery, 2020.
-
Abstract
- Backgrounds/aims Additional surgical procedures are often required in patients with chronic pancreatitis (CP) related complications. The present study aims to analyze the type of additional procedures required in patients who underwent Frey's procedure (Frey's plus) and to compare the short-term outcomes and quality of life with patients who underwent only Frey's procedure. Methods Retrospective analysis of a prospectively maintained database of patients who underwent surgery for CP between January 2012 and February 2018 and completed at least one year of follow-up. Patients who underwent non-Frey's surgical procedures were excluded. Clinical parameters, postoperative pain relief (using Izbicki pain score) and functioning scale score (EORTC QLQ C30) of patients who underwent Frey's plus procedure and only Frey's procedure were compared. Results Of the 146 patients who underwent surgery for CP during the study period, 100 patients (Frey's procedure-68, Frey's plus procedure-32) were included in this study. Roux-en-Y hepaticojejunostomy was the commonly performed additional procedure (n=12). The demographic and clinical parameters were comparable, except for more patients with jaundice (28.1% vs. 2.9%, p=0.01) and prolonged operative time (374.6 mins vs. 326.3 mins, p=0.01) in Frey's plus group. However, there was no significant difference in mean intraoperative blood loss, postoperative morbidity or duration of hospital stay. At median (range) follow up of 34 (12-86) months, there was no significant difference in the pain control and quality of life between two groups. Conclusions Frey's plus procedure for chronic pancreatitis can be safely performed wherever indicated without adversely affecting the postoperative outcome or quality of life.
- Subjects :
- medicine.medical_specialty
business.industry
Eortc qlq c30
Jaundice
medicine.disease
Frey’s plus procedure
nervous system diseases
Surgery
Frey’s procedure
Frey's procedure
Quality of life
Additional procedure
medicine
Postoperative outcome
Pancreatitis
Operative time
Original Article
General Materials Science
medicine.symptom
business
Chronic pancreatitis
psychological phenomena and processes
Subjects
Details
- ISSN :
- 25085859 and 25085778
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Annals of Hepato-Biliary-Pancreatic Surgery
- Accession number :
- edsair.doi.dedup.....23253fd484b826fd81700fcc992b1931