Are there preoperative factors related to a “soft pancreas” and are they predictive of pancreatic fistulas after pancreatic resection?

Purpose Soft pancreatic parenchyma is the most widely recognized risk factor for pancreatic fistula. We conducted this study to clarify if there are preoperative factors related to a soft pancreatic remnant and to establish if they are useful for predicting pancreatic fistula. Methods This was a ret...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2015-06, Vol.45 (6), p.708-714
Main Authors: Casadei, Riccardo, Ricci, Claudio, Taffurelli, Giovanni, D’Ambra, Marielda, Pacilio, Carlo Alberto, Ingaldi, Carlo, Minni, Francesco
Format: Article
Language:English
Subjects:
Aged
Body Mass Index
Female
Forecasting
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Pancreas - pathology
Pancreatectomy
Pancreatic Ducts - pathology
Pancreatic Fistula - etiology
Preoperative Period
Retrospective Studies
Risk Factors
Surgery
Surgical Oncology
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Summary:Purpose Soft pancreatic parenchyma is the most widely recognized risk factor for pancreatic fistula. We conducted this study to clarify if there are preoperative factors related to a soft pancreatic remnant and to establish if they are useful for predicting pancreatic fistula. Methods This was a retrospective study of patients who underwent pancreatic resections at the Department of Surgical Sciences of the S. Orsola-Malpighi Hospital, Bologna, Italy. The factors considered were sex, age, co-morbidities, body mass index, American Society of Anesthesiologists score, characteristics of the pancreatic remnant, and preoperative diagnosis. Results Data from 208 patients were recorded. The risk factors predictive of a soft pancreatic remnant were BMI >24 kg/m 2 ( P  = 0.011), a Wirsung duct size ≤3 mm ( P  
ISSN:0941-1291
1436-2813
DOI:10.1007/s00595-014-1045-7