Pancreaticoduodenectomy in children optimising outcome of uncommon paediatric procedures

Hdl Handle:
http://hdl.handle.net/10147/122653
Title:
Pancreaticoduodenectomy in children optimising outcome of uncommon paediatric procedures
Authors:
Yeap, B; Corbally, M; El Gohary, Y
Publisher:
Irish Medical Journal
Issue Date:
Jan-2011
URI:
http://hdl.handle.net/10147/122653
Item Type:
Article
Language:
en
Description:
Contemporary surgical practice is increasingly dominated by subspecialisation in response to improved outcome from high volume centres, though uncertainties persist for uncommon paediatric procedures. Three paediatric pancreaticoduodenectomies performed at Our Ladys Childrens Hospital, Dublin, over a period of 9 years were evaluated to substantiate their continuing performance by paediatric rather than adult pancreatic surgeons. With ages ranging from 18 months to 8 years old, the mean operating time was 263 minutes, while the average hospital stay was 12 days. There was no perioperative mortality, although complication rate was 100%. Re-operation was required in 33%. The long term outcome of this small paediatric cohort was comparable to adult series despite the low patient accrual, underscoring the advantages of a multidisciplinary approach afforded by tertiary paediatric institutions for intricate yet infrequent operations in children.
Keywords:
PAEDIATRICS
Local subject classification:
PERIOPERATIVE MORTALITY
Sponsors:
Reproduced with permission from the Irish Medical Journal.

Full metadata record

DC FieldValue Language
dc.contributor.authorYeap, Ben
dc.contributor.authorCorbally, Men
dc.contributor.authorEl Gohary, Yen
dc.date.accessioned2011-02-22T15:05:17Z-
dc.date.available2011-02-22T15:05:17Z-
dc.date.issued2011-01-
dc.identifier.urihttp://hdl.handle.net/10147/122653-
dc.descriptionContemporary surgical practice is increasingly dominated by subspecialisation in response to improved outcome from high volume centres, though uncertainties persist for uncommon paediatric procedures. Three paediatric pancreaticoduodenectomies performed at Our Ladys Childrens Hospital, Dublin, over a period of 9 years were evaluated to substantiate their continuing performance by paediatric rather than adult pancreatic surgeons. With ages ranging from 18 months to 8 years old, the mean operating time was 263 minutes, while the average hospital stay was 12 days. There was no perioperative mortality, although complication rate was 100%. Re-operation was required in 33%. The long term outcome of this small paediatric cohort was comparable to adult series despite the low patient accrual, underscoring the advantages of a multidisciplinary approach afforded by tertiary paediatric institutions for intricate yet infrequent operations in children.en
dc.description.sponsorshipReproduced with permission from the Irish Medical Journal.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectPAEDIATRICSen
dc.subject.otherPERIOPERATIVE MORTALITYen
dc.titlePancreaticoduodenectomy in children optimising outcome of uncommon paediatric proceduresen
dc.typeArticleen
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