Effect of overtime pancreaticoduodenectomy on the short-term prognosis of patients  

作　　者：Jin-Zhu Zhang Shu Li Wei-Hua Zhu Xi-Sheng Leng Da-Fang Zhang 

机构地区：[1]Department of Hepatobiliary Surgery,Peking University People's Hospital,Beijing 100044,China

出　　处：《World Journal of Gastrointestinal Surgery》2022年第5期419-428,共10页世界胃肠外科杂志（英文版）（电子版）

基　　金：Supported by Peking University People’s Hospital Scientific Research Development Funds,No.RDY2017-28.

摘　　要：BACKGROUND Due to the large number of operations,surgeons sometimes need to work overtime or even stay up late to perform pancreaticoduodenectomy.Fatigue and sleep deprivation can result in an increased error rate at work.There have been numerous studies about the effect of overtime surgery on the prognosis of patients.However,the effect of overtime work for pancreaticoduodenectomy on the prognosis of patients is unclear.This study explores the impact of overtime work for pancreaticoduodenectomy on the prognosis of patients.AIM To explore the impact of overtime work for pancreaticoduodenectomy on the short-term prognosis of patients.METHODS This was a single-center,retrospective cohort study.The patients who underwent pancreaticoduodenectomy between January 2017 and December 2019 were included.Patients were stratified by operative start time into the control group(surgery that started between 8:00 and 16:49)and the overtime group(surgery that started between 17:00 and 22:00)and compared intraoperative and postoperative parameters.The following parameters were compared between the overtime group and the control group:Operative time,blood loss,number of lymph nodes removed,duration of treatment in the Intensive Care Unit(ICU),and incidence of complications.RESULTS From January 2017 to December 2019,a total of 239 patients underwent pancreaticoduodenectomy in the Department of Hepatobiliary Surgery of our institution.Four patients were excluded from this study due to lack of clinical data.A total of 235 patients were included,with 177 in the control group and 58 in the overtime group.There was no difference between the two groups in operative time,blood loss,number of lymph nodes removed,ICU length of stay,hospital length of stay,mortality during hospitalization.Compared with the control group,the overtime group had a higher incidence of pancreatic fistula(32.8%vs 15.8%,P<0.05).Multivariate analysis showed that overtime work,higher Body Mass Index were independent risk factors for pancreatic fistula(P<0.05).CONCLUSI

关 键 词：PANCREATICODUODENECTOMY FATIGUE SURGERY Pancreatic fistula General surgery Overtime surgery 

分 类 号：R657.5[医药卫生—外科学]