Perioperative and follow-up results after central pancreatic head resection (Berne technique) in a consecutive series of patients with chronic pancreatitis

Abstract Background Many patients require surgery for chronic pancreatitis (CP). By combining the essences of the Beger and the Frey procedures, a hybrid procedure was developed: central pancreatic-head resection (CPHR) (Berne technique). Methods A prospective evaluation of 100 consecutive patients...

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Bibliographic Details
Published in:The American journal of surgery 2008-09, Vol.196 (3), p.364-372
Main Authors: Müller, Michael W., M.D, Friess, Helmut, M.D, Leitzbach, Sarah, Michalski, Christoph W., M.D, Berberat, Pascal, M.D, Ceyhan, Güralp O., M.D, Hinz, Ulf, M.Sc, Ho, Choon-Kiat, M.D, Köninger, Jörg, M.D, Kleeff, Jörg, M.D, Büchler, Markus W., M.D
Format: Article
Language:English
Subjects:
Biological and medical sciences
Chronic pancreatitis
Constipation
Female
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Morbidity
Mortality
Other diseases. Semiology
Pain
Pancreas
Pancreatectomy
Pancreatic-head resection
Pancreatitis, Chronic - surgery
Prospective Studies
Quality of Life
Surgery
Treatment Outcome
Veins & arteries
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Summary:Abstract Background Many patients require surgery for chronic pancreatitis (CP). By combining the essences of the Beger and the Frey procedures, a hybrid procedure was developed: central pancreatic-head resection (CPHR) (Berne technique). Methods A prospective evaluation of 100 consecutive patients who underwent CPHR for CP between January 2002 and December 2006 was performed. Long-term follow-up, including quality-of-life (QOL) assessment, was carried out. Results The hospital mortality rate was 1%; the surgical morbidity rate was 16%; and the relaparotomy rate was 6%. Mean surgery time was 295 ± 7 minutes; mean intraoperative blood loss was 763 ± 75 mL; and the mean postsurgical hospital stay was 11.4 ± .8 days. After a median follow-up of 41 months, pain was improved in 55% of patients; weight increase occurred in 67% of patients; and insulin-dependent diabetes mellitus developed in 22% of the patients. Comparison of QOL parameters with a German adult control population showed no statistically significant differences. Conclusions CPHR is a safe surgical option to resolve CP-associated problems. Long-term follow-up QOL after CPHR shows results comparable with date published data after the Beger and the Frey procedures.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2007.08.065