Fas-Track-Chirurgie beim Pankreaskarzinom

Translated title of the contribution: Fast track pancreatic cancer surgery

Christiane Bruns, M. W. Wichmann, M. E. Kreis, K. W. Jauch

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

The beneficial clinical effects of fast track surgery reported here in a prospective clinical feasibility study compared with age-, sex-, and disease-matched historical control patients clearly indicate that the modified concept of multimodal rehabilitation can safely be applied in pancreatic cancer patients, in particular in patients who undergo partial pancreatoduodenectomy (traditional KAUSCH-WHIPPLE procedure) or pylorus preserving partial pancreatoduodenectomy. Thus, our results further support previous findings that the multimodal approach to perioperative patient care with revision of surgical traditions (pre- and postoperative starvation, immobilisation, abdominal drains) and optimised pain treatment using epidural analgesia has the potential to improve postoperative recovery even in high risk patients. While routine laboratory parameters show similar changes during the postoperative course after pancreatic cancer surgery in both groups, the clinical outcome parameters clearly indicate that the concept of fast track rehabilitation can be successfully transferred to pancreatic surgery and may be even beneficially applied to these high-risk patients. Further randomized clinical trials are necessary to prove the concept of multimodal rehabilitation in pancreatic cancer surgery.

Translated title of the contributionFast track pancreatic cancer surgery
Original languageGerman
Pages (from-to)203-210
Number of pages8
JournalChirurgische Praxis
Volume67
Issue number2
Publication statusPublished - Apr 2007
Externally publishedYes

Keywords

  • Fast track surgery
  • Multimodal rehabilitation
  • Pancreatic surgery

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