Pancreaticoduodenectomy in children: optimising outcome of uncommon paediatric procedures.
dc.contributor.author | Yeap, B H | |
dc.contributor.author | Corbally, M | |
dc.contributor.author | El-Gohary, Y | |
dc.date.accessioned | 2012-02-01T10:25:36Z | |
dc.date.available | 2012-02-01T10:25:36Z | |
dc.date.issued | 2012-02-01T10:25:36Z | |
dc.identifier.citation | Ir Med J. 2011 Jan;104(1):23-4. | en_GB |
dc.identifier.issn | 0332-3102 (Print) | en_GB |
dc.identifier.issn | 0332-3102 (Linking) | en_GB |
dc.identifier.pmid | 21387882 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10147/207461 | |
dc.description.abstract | 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 Lady's Children's 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. | |
dc.language.iso | eng | en_GB |
dc.subject.mesh | Child | en_GB |
dc.subject.mesh | Child, Preschool | en_GB |
dc.subject.mesh | Humans | en_GB |
dc.subject.mesh | Infant | en_GB |
dc.subject.mesh | Length of Stay | en_GB |
dc.subject.mesh | Male | en_GB |
dc.subject.mesh | Neuroectodermal Tumors, Primitive, Peripheral/surgery | en_GB |
dc.subject.mesh | Pancreatic Diseases/*surgery | en_GB |
dc.subject.mesh | Pancreatic Neoplasms/*surgery | en_GB |
dc.subject.mesh | *Pancreaticoduodenectomy | en_GB |
dc.subject.mesh | Patient Care Team | en_GB |
dc.subject.mesh | Retrospective Studies | en_GB |
dc.subject.mesh | Treatment Outcome | en_GB |
dc.title | Pancreaticoduodenectomy in children: optimising outcome of uncommon paediatric procedures. | en_GB |
dc.contributor.department | Department of Paediatric Surgery, Our Lady's Children's Hospital, Crumlin, Dublin, 12. drbhyeap@hotmail.com | en_GB |
dc.identifier.journal | Irish medical journal | en_GB |
dc.description.province | Leinster | |
html.description.abstract | 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 Lady's Children's 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. |
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Children's Health Ireland (CHI) at Crumlin
Formerly Our Lady's Children's Hospital Crumlin