Facing the surgeon's nightmare: Incidence and management of postoperative pancreatic fistulas grade C after pancreaticoduodenectomy based on the updated definition of the International Study Group of Pancreatic Surgery (ISGPS)

Background Postoperative pancreatic fistulas (POPF) grade C represent a rare but feared complication following pancreaticoduodenectomy (PD). They can contribute significantly to postoperative morbidity and mortality. Methods We performed a retrospective chart review for all patients who had undergon...

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Bibliographic Details
Published in:Journal of hepato-biliary-pancreatic sciences 2020-04, Vol.27 (4), p.171-181
Main Authors: Luu, Andreas Minh, Krasemann, Lukas, Fahlbusch, Tim, Belyaev, Orlin, Janot‐Matuschek, Monika, Uhl, Waldemar, Braumann, Chris
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Anastomosis, Surgical - adverse effects
Anastomosis, Surgical - methods
Female
Fistula
Germany - epidemiology
Humans
Incidence
International Study Group of Pancreatic Surgery
Jejunum - surgery
Male
Middle Aged
Mortality
Pancreas - surgery
Pancreatic Diseases - etiology
Pancreatic Diseases - mortality
Pancreatic Diseases - surgery
Pancreatic Ducts - surgery
Pancreatic Fistula - classification
Pancreatic Fistula - epidemiology
Pancreatic Fistula - mortality
Pancreatic Fistula - surgery
Pancreaticoduodenectomy
Pancreaticoduodenectomy - adverse effects
Pancreaticoduodenectomy - methods
postoperative pancreatic fistula
Reoperation
Retrospective Studies
Risk Assessment
Risk Factors
Stomach - surgery
Treatment Outcome
Whipple's procedure
Young Adult
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Description
Summary:Background Postoperative pancreatic fistulas (POPF) grade C represent a rare but feared complication following pancreaticoduodenectomy (PD). They can contribute significantly to postoperative morbidity and mortality. Methods We performed a retrospective chart review for all patients who had undergone pancreatic head resection between 2007 and 2016 to identify those who suffered from POPF grade C according to the updated definition of the International Study Group of Pancreatic Surgery (ISGPS). Results A total of 722 patients underwent PD. Twenty‐three patients (3.19%) developed a POPF grade C. Cardiovascular diseases, soft pancreatic texture and main pancreatic duct diameter were identified as risk factors (P 
ISSN:1868-6974
1868-6982
DOI:10.1002/jhbp.713