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Matthew T. McMillan
University of Pennsylvania
SurgeryFistulaPancreatic fistulaGeneral surgeryMedicine
68Publications
17H-index
788Citations
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Publications 70
Newest
#1Maxwell T. Trudeau (UPenn: University of Pennsylvania)
#2Fabio Casciani (UPenn: University of Pennsylvania)
Last. Horacio J. Asbun (Mayo Clinic)H-Index: 31
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OBJECTIVE This study aims to present a full spectrum of individual patient presentations of pancreatic fistula risk, and to define the utility of mitigation strategies amongst some of the most prevalent, and vulnerable scenarios surgeons encounter. BACKGROUND The FRS has been utilized to identify technical strategies associated with reduced CR-POPF incidence across various risk strata. However, risk-stratification using the FRS has never been investigated with greater granularity. By deriving al...
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#1Maxwell T. Trudeau (UPenn: University of Pennsylvania)
#2Laura Maggino (UPenn: University of Pennsylvania)H-Index: 6
Last. Charles M. Vollmer (UPenn: University of Pennsylvania)H-Index: 40
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Abstract Background Intraoperative drain use for pancreatoduodenectomy (PD) has been practiced in an unconditional, binary manner (placement/no-placement). Alternatively, dynamic drain management has been introduced, incorporating the Fistula Risk Score (FRS) and drain fluid amylase (DFA) analysis, to mitigate clinically-relevant pancreatic fistula (CR-POPF). Study Design An extended experience with dynamic drain management was employed at a single institution for 400 consecutive PDs (2014-2019)...
1 CitationsSource
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#1Thomas F. SeykoraH-Index: 2
#2Brett L. EckerH-Index: 12
Last. Charles M. VollmerH-Index: 40
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OBJECTIVE:The aim of this study was to elucidate the impact of intraoperative blood loss on outcomes following pancreatoduodenectomy (PD). BACKGROUND:The negative impact of intraoperative blood loss on outcomes in PD has long been suspected but not well characterized, particularly those factors that may be within surgeons' control. METHODS:From 2001 to 2015, 5323 PDs were performed by 62 surgeons from 17 institutions. Estimated blood loss (EBL) was discretized (0 to 300, 301 to 750, 751 to 1300,...
4 CitationsSource
#2Brett L. EckerH-Index: 12
Last. Charles M. VollmerH-Index: 6
view all 5 authors...
Source
#1Brett L. Ecker (UPenn: University of Pennsylvania)H-Index: 12
#2Matthew T. McMillan (UPenn: University of Pennsylvania)H-Index: 17
Last. Charles M. Vollmer (UPenn: University of Pennsylvania)H-Index: 40
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Background Improvements in surgical outcomes are predicated on recognizing effective practices with subsequent adaptation. It is unknown whether risk assessment for pancreatic fistula (clinically relevant postoperative pancreatic fistula [CR-POPF]) after pancreaticoduodenectomy (PD) translates to improved patient outcomes at the practice level. Study design A prospectively collected, single-surgeon career experience (2003 to 2018) of 455 consecutive pancreatectomies (303 PDs and 152 distal pancr...
3 CitationsSource
#1Thomas F. SeykoraH-Index: 2
#2Brett L. EckerH-Index: 12
Last. Charles M. VollmerH-Index: 40
view all 6 authors...
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#1Laura MagginoH-Index: 10
#2Giuseppe MalleoH-Index: 29
Last. Charles M. VollmerH-Index: 6
view all 15 authors...
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#1Brett L. EckerH-Index: 12
#2Matthew T. McMillanH-Index: 17
Last. Charles M. VollmerH-Index: 6
view all 4 authors...
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#1Laura MagginoH-Index: 10
#2Giuseppe MalleoH-Index: 29
Last. Charles M. VollmerH-Index: 40
view all 15 authors...
Objective:The aim of this study was to describe characteristics and management approaches for grade B pancreatic fistula (B-POPF) and investigate whether it segregates into distinct subclasses.Background:The 2016 ISGPS refined definition of B-POPF is predicated on various postoperative management ap
6 CitationsSource
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