Abstract
Duodenal resections are sometimes necessary for radical surgery. We analyzed technical aspects and post-operative outcomes in patients with RPS and GIST involving duodenum. We identified patients who underwent duodenal resection for RPS and GIST at our Institute between 2000 and 2016. Clinical, pathological and treatment variables were analyzed. Thirty patients were treated: 15 for GIST, 15 for RPS. Sixteen duodenal wedge resections (WR) and 14 segmental resections (SR) were performed. Multi-organ resection was frequently performed (63.4%). Median time to flatus was 3 days (range 1–6), to oral refeeding 4.5 (range 2–15). Overall postoperative morbidity rate was 53% (16/30): Clavien Dindo grade ≤ II: 10; duodenum-related complication rate was 33% (10/30), Clavien Dindo grade ≤ II: 9. Morbidity rates were higher in SR than WR. Duodenal resections for RPS and GIST have significant morbidity rate and whenever it is possible, WR is preferable to SR because of the lower morbidity rate.
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Substantial contributions were made to the conception or design of the work (FCMC, LR, and LS), the acquisition, analysis (LS, FS, DG, and EMM), interpretation of data for the work (FCMC, LR, LC, and VQ), drafting the work (FCMC, LR, and LS) or revising it critically for important intellectual content (FCMC, FS, DG, EMM, LC, and VQ), and final approval of the version to be published (FCMC, LR, LS, FS, DG, EMM, LC, and VQ). Agreement to be ac-countable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved (FCMC, LR, LS, FS, DG, EMM, LC, and VQ).
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Cananzi, F.C.M., Ruspi, L., Samà, L. et al. Short-term outcomes after duodenal surgery for mesenchymal tumors: a retrospective analysis from a single tertiary referral center. Updates Surg 71, 451–456 (2019). https://doi.org/10.1007/s13304-019-00667-8
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DOI: https://doi.org/10.1007/s13304-019-00667-8