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The impact of intraoperative goal-directed fluid therapy on complications after pancreaticoduodenectomy.

ABSTRACT: Introduction:Optimal fluid balance is critical to minimize anastomotic edema in patients undergoing pancreaticoduodenectomy. We examined the effects of decreased fluid administration on rates of postoperative pancreatic leak and delayed gastric emptying. Methods:Retrospective study of 105 patients undergoing pancreaticoduodenectomy at a single institution from January 2015 through July 2016. Stroke volume variation (SVV) was tracked and titrated during the procedure. A comparative analysis of postoperative complications was performed between patients with a median SVV?

SUBMITTER: Sulzer JK 

PROVIDER: S-EPMC6199772 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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The impact of intraoperative goal-directed fluid therapy on complications after pancreaticoduodenectomy.

Sulzer Jesse K JK   Sastry Amit V AV   Meyer Lauren M LM   Cochran Allyson A   Buhrman William C WC   Baker Erin H EH   Martinie John B JB   Iannitti David A DA   Vrochides Dionisios D  

Annals of medicine and surgery (2012) 20181016

<h4>Introduction</h4>Optimal fluid balance is critical to minimize anastomotic edema in patients undergoing pancreaticoduodenectomy. We examined the effects of decreased fluid administration on rates of postoperative pancreatic leak and delayed gastric emptying.<h4>Methods</h4>Retrospective study of 105 patients undergoing pancreaticoduodenectomy at a single institution from January 2015 through July 2016. Stroke volume variation (SVV) was tracked and titrated during the procedure. A comparative  ...[more]

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