ArticleJournal of surgical case reports2025
Perioperative and long-term outcomes of pancreaticoduodenectomy in patients undergoing hemodialysis: a case series of eight patients.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This report retrospectively evaluated the perioperative and long-term outcomes of eight cases of pancreaticoduodenectomy (PD) in patients undergoing hemodialysis. The median age and duration of hemodialysis of the patients were 68 and 6 years, respectively. The Preoperative Charlson Comorbidity Index and abdominal aortic calcification scores were generally high. The median operative time and blood loss volume were 454 min and 673 ml, respectively. The 30- and 90-day mortality rates were 0%; however, Clavien-Dindo grade ≥IIIa postoperative complications occurred in four cases, with one in-hospital death due to superior mesenteric artery thrombosis 6 months postoperatively. Six of the eight patients died within 8 years due to causes other than cancer recurrence. Although PD is technically feasible for patients undergoing hemodialysis, it is associated with significant perioperative and long-term risks. Therefore, careful patient selection through preoperative counseling and multidisciplinary management is essential to achieve the best possible outcomes.
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