Risk factors for mortality and intra-abdominal morbidity after distal pancreatectomy

The purpose of this study was to analyze the short-term outcome and to determine risk factors after distal pancreatectomy (DP). This prospective single-center study included 61 patients undergoing DP with splenic preservation in 6 (10%). The diagnoses included pancreatic adenocarcinoma (n = 9), neur...

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Bibliographic Details
Published in:Surgery 2005-02, Vol.137 (2), p.180-185
Main Authors: Sledzianowski, J.F., Duffas, J.P., Muscari, F., Suc, B., Fourtanier, F.
Format: Article
Language:English
Subjects:
Abdomen
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Female
General aspects
Humans
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
Middle Aged
Morbidity
Pancreatectomy - adverse effects
Pancreatectomy - methods
Pancreatectomy - mortality
Pancreatic Fistula - etiology
Pancreatic Neoplasms - surgery
Pancreaticoduodenectomy
Pancreatitis - surgery
Postoperative Complications - etiology
Postoperative Complications - mortality
Prospective Studies
Risk Factors
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
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Summary:The purpose of this study was to analyze the short-term outcome and to determine risk factors after distal pancreatectomy (DP). This prospective single-center study included 61 patients undergoing DP with splenic preservation in 6 (10%). The diagnoses included pancreatic adenocarcinoma (n = 9), neuroendocrine neoplasms (n = 17), benign neoplasm (n = 26), pseudocyst (n = 4), chronic pancreatitis (n = 2), and other diagnoses (n = 3). Twelve clinical factors were studied. The chi-square test was used for univariate analysis. The median duration of the postoperative hospital stay was 10 days (range, 5-155 days). Two patients (3%) died postoperatively; 12 patients (20%) had one or more intra-abdominal complications with reoperation necessary in 3 patients (5%): 6 pancreatic fistula (10%), 11 intra-abdominal collections (18%), 1 postoperative hemorrhage (2%). Univariate analysis showed that a body mass index >25 kg/m 2 was the only risk factor for intra-abdominal complication ( P = .003). DP is associated with an intra-abdominal morbidity rate of 20%, which is increased for patients with a body mass index >25 kg/m 2.
ISSN:0039-6060
1532-7361
DOI:10.1016/j.surg.2004.06.063