Intraoperative pH Is a Reliable Prognostic Factor for Patients With Periampullary Carcinoma Undergoing Pancreaticoduodenectomy

A reliable prognostic factor for periampullary carcinoma is critical to improve surgical outcomes. Intraoperative acidosis reflects the incidence of intraoperative adverse events and impact the prognosis. In this study, 612 patients with periampullary carcinoma who underwent pancreaticoduodenectomy...

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Autores principales: Chao Dang, Min Wang, Tingmei Wang, Renyi Qin
Formato: article
Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/53aede6fbba2427fb565707cd9c1cf44
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spelling oai:doaj.org-article:53aede6fbba2427fb565707cd9c1cf442021-11-05T08:35:58ZIntraoperative pH Is a Reliable Prognostic Factor for Patients With Periampullary Carcinoma Undergoing Pancreaticoduodenectomy2234-943X10.3389/fonc.2021.764572https://doaj.org/article/53aede6fbba2427fb565707cd9c1cf442021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.764572/fullhttps://doaj.org/toc/2234-943XA reliable prognostic factor for periampullary carcinoma is critical to improve surgical outcomes. Intraoperative acidosis reflects the incidence of intraoperative adverse events and impact the prognosis. In this study, 612 patients with periampullary carcinoma who underwent pancreaticoduodenectomy (PD) were divided into high- and low-pH groups according to the cut-off value of receiver operating characteristic curve (7.34). Through statistical analysis of the difference between the high- and low-pH group, it was found that the low-pH group had worse short-term prognosis than the high pH group, and intraoperative pH was an independent prognostic factor for patients with periampullary carcinoma undergoing PD. In addition, patients who underwent laparoscopic pancreaticoduodenectomy had a more alkaline pH after surgery. This is of great help for early judgment of short-term and even long-term prognosis of patients with pancreatic cancer after surgery, and can even guide clinicians to improve prognosis by early adjustment of pH value.Chao DangMin WangTingmei WangRenyi QinFrontiers Media S.A.articlepancreaticoduodenectomypancreatic cancerpHprognostic factorweakly alkalineNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic pancreaticoduodenectomy
pancreatic cancer
pH
prognostic factor
weakly alkaline
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle pancreaticoduodenectomy
pancreatic cancer
pH
prognostic factor
weakly alkaline
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Chao Dang
Min Wang
Tingmei Wang
Renyi Qin
Intraoperative pH Is a Reliable Prognostic Factor for Patients With Periampullary Carcinoma Undergoing Pancreaticoduodenectomy
description A reliable prognostic factor for periampullary carcinoma is critical to improve surgical outcomes. Intraoperative acidosis reflects the incidence of intraoperative adverse events and impact the prognosis. In this study, 612 patients with periampullary carcinoma who underwent pancreaticoduodenectomy (PD) were divided into high- and low-pH groups according to the cut-off value of receiver operating characteristic curve (7.34). Through statistical analysis of the difference between the high- and low-pH group, it was found that the low-pH group had worse short-term prognosis than the high pH group, and intraoperative pH was an independent prognostic factor for patients with periampullary carcinoma undergoing PD. In addition, patients who underwent laparoscopic pancreaticoduodenectomy had a more alkaline pH after surgery. This is of great help for early judgment of short-term and even long-term prognosis of patients with pancreatic cancer after surgery, and can even guide clinicians to improve prognosis by early adjustment of pH value.
format article
author Chao Dang
Min Wang
Tingmei Wang
Renyi Qin
author_facet Chao Dang
Min Wang
Tingmei Wang
Renyi Qin
author_sort Chao Dang
title Intraoperative pH Is a Reliable Prognostic Factor for Patients With Periampullary Carcinoma Undergoing Pancreaticoduodenectomy
title_short Intraoperative pH Is a Reliable Prognostic Factor for Patients With Periampullary Carcinoma Undergoing Pancreaticoduodenectomy
title_full Intraoperative pH Is a Reliable Prognostic Factor for Patients With Periampullary Carcinoma Undergoing Pancreaticoduodenectomy
title_fullStr Intraoperative pH Is a Reliable Prognostic Factor for Patients With Periampullary Carcinoma Undergoing Pancreaticoduodenectomy
title_full_unstemmed Intraoperative pH Is a Reliable Prognostic Factor for Patients With Periampullary Carcinoma Undergoing Pancreaticoduodenectomy
title_sort intraoperative ph is a reliable prognostic factor for patients with periampullary carcinoma undergoing pancreaticoduodenectomy
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/53aede6fbba2427fb565707cd9c1cf44
work_keys_str_mv AT chaodang intraoperativephisareliableprognosticfactorforpatientswithperiampullarycarcinomaundergoingpancreaticoduodenectomy
AT minwang intraoperativephisareliableprognosticfactorforpatientswithperiampullarycarcinomaundergoingpancreaticoduodenectomy
AT tingmeiwang intraoperativephisareliableprognosticfactorforpatientswithperiampullarycarcinomaundergoingpancreaticoduodenectomy
AT renyiqin intraoperativephisareliableprognosticfactorforpatientswithperiampullarycarcinomaundergoingpancreaticoduodenectomy
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