Toward zero pancreatic fistula after pancreaticoduodenectomy with pancreaticogastrostomy

Postoperative morbidity after pancreaticoduodenectomy has been associated mainly with the development of pancreatic fistula. However, postoperative complications unrelated to pancreatic fistula cannot be disregarded after pancreaticoduodenectomy. The aim of the present study was to investigate the p...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 2006-06, Vol.191 (6), p.726-732
Main Authors: Rosso, Edoardo, Bachellier, Philippe, Oussoultzoglou, Elie, Scurtu, Radu, Meyer, Nicolas, Nakano, Hiroshi, Verasay, Guillermo, Jaeck, Daniel
Format: Article
Language:English
Subjects:
Abdomen
Anastomosis, Surgical - methods
Female
Gastroenterostomy - adverse effects
Gastroenterostomy - methods
Humans
Incidence
Male
Morbidity
Mortality
Pancreatic fistula
Pancreatic Fistula - epidemiology
Pancreatic Fistula - prevention & control
Pancreatic Neoplasms - mortality
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - surgery
Pancreaticoduodenectomy - adverse effects
Pancreaticoduodenectomy - methods
Pancreaticogastrostomy
Patients
Postoperative period
Prognosis
Respiratory distress syndrome
Risk Assessment
Surgical outcome
Survival Rate
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Postoperative morbidity after pancreaticoduodenectomy has been associated mainly with the development of pancreatic fistula. However, postoperative complications unrelated to pancreatic fistula cannot be disregarded after pancreaticoduodenectomy. The aim of the present study was to investigate the postoperative morbidity in a large series of pancreaticoduodenectomies with pancreaticogastrostomies without pancreatic fistula. The present study analyzed the data from 194 consecutive patients undergoing a pancreaticoduodenectomy with a pancreaticogastrostomy between July 1997 and June 2003 in whom no postoperative pancreatic fistula occurred. The overall rate of postoperative morbidity was 33.5%. Specific and general complications occurred in 16% and 17.5% of the patients, respectively. An American Society of Anesthesiologists (ASA) score of 3 and blood transfusion were the only independent factors associated with postoperative morbidity. Our study found that the overall morbidity after a pancreaticoduodenectomy with a pancreaticogastrostomy still remains high even in the absence of pancreatic fistula and is associated with the preoperative medical condition (ASA score) of the patients and with blood transfusion.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2005.09.012