胰密度和肌肉质量作为十二指肠胰切除术后胰瘘形成的预测危险因素的计算机断层成像评估

IF 1.5 Q3 GASTROENTEROLOGY & HEPATOLOGY Gastroenterology Insights Pub Date : 2023-07-13 DOI:10.3390/gastroent14030020
Naomi Calabrò, C. Borraccino, C. Garlisi, Teresa Bongiovanni, P. Basile, Ahmed Abu-Omar, M. Scaglione, R. Romito, A. Carriero
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引用次数: 0

摘要

本研究的目的是研究通过CT成像评估的术前胰腺密度和肌肉质量在接受十二指肠头胰腺切除术的患者中的预测作用,特别是与术后胰瘘(POPF)发生的关系。对57名连续患者进行了回顾性分析,这些患者在过去五年中被诊断为头胰腺疾病并接受了十二指肠头胰腺切除术。观察到的最常见的病理是导管腺癌(29.2%)、胆管腺癌(12.9%)、十二指肠和乳头状腺癌(13.9%)。我们收集了有关年龄、性别、组织病理学表现、手术类型、是否存在胰瘘、术前CT图像上的胰腺密度和肌肉面积的信息,使用“3D切片器”软件在L3椎骨的水平上计算。我们的数据显示,28%的患者出现胰腺瘘,胰腺密度的平均衰减为27 HU,低于非瘘组(33.31 HU)。然而,统计分析并未揭示低胰腺密度与瘘管形成之间的显著关联。因此,我们的研究结果并没有在胰瘘和胰腺密度之间建立显著的联系,这与该主题的现有文献一致。
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Computed Tomography Imaging Evaluation of Pancreatic Density and Muscular Mass as Predictive Risk Factors for Pancreatic Fistula Formation after Duodenocephalopancreasectomy
The aim of this study was to investigate the predictive role of preoperative pancreatic density and muscular mass, assessed via CT imaging, in patients undergoing duodenocephalopancreasectomy, specifically in relation to the occurrence of postoperative pancreatic fistula (POPF). A retrospective analysis was conducted on a cohort of 57 consecutive patients who had been diagnosed with cephalo-pancreatic disease and had undergone duodenocephalopancreasectomy in the last five years. The most prevalent pathologies observed were ductal adenocarcinoma (29.2%), biliary adenocarcinoma (12.9%), and duodenal and papillary adenocarcinoma (13.9%). We collected information about age, sex, histopathological findings, type of surgery, presence or absence of pancreatic fistula, pancreatic density on preoperative CT images, and muscular area, calculated at the level of the L3 vertebra using “3D Slicer” software. Our data show that 28% of patients developed a pancreatic fistula, with an average attenuation of pancreatic density of 27 HU, which was lower than that observed in the non-fistula group (33.31 HU). However, statistical analysis did not reveal a significant association between low pancreatic density and fistula development. Therefore, our findings do not establish a significant association between pancreatic fistula and pancreatic density, aligning with the existing literature on the subject.
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来源期刊
Gastroenterology Insights
Gastroenterology Insights GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
2.80
自引率
3.40%
发文量
35
审稿时长
10 weeks
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