Article Commentary: Risk Factors of Pancreatic Fistula after Pancreaticoduodenectomy: A Collective Review

Autor:	Giuseppe Nigri, Giovanni Ramacciato, Alessandro Cucchetti, Massimo Del Gaudio, Mirko Muroni, Matteo Ravaioli, Andrea Kazemi, Matteo Cescon, Albert Balesh, Paolo Mercantini, Niccolò Petrucciani
Rok vydání:	2011
Předmět:	medicine.medical_specialty Perioperative management business.industry General surgery medicine.medical_treatment General Medicine Anastomosis Pancreaticoduodenectomy medicine.disease Surgery Pancreatic fistula medicine Complication business
Zdroj:	The American Surgeon. 77:257-269
ISSN:	1555-9823 0003-1348
DOI:	10.1177/000313481107700310
Popis:	Postoperative pancreatic fistula (POPF) is the most frequent complication after pancreaticoduodenectomy, results in increased morbidity and mortality, and adversely affects length of stay and costs. Reported rates of postoperative pancreatic fistula vary from 0 per cent up to more than 30 per cent. Plenty of randomized trails and meta-analysis were published to analyze the ideal procedure, technique of anastomosis, and perioperative management of patients undergoing pancreaticoduodenectomy; however, results are often discordant and clear evidence on the ideal management and surgical technique to reduce POPF rate is not yet provided. This collective review examined the current evidence about risk factors contributing to postoperative pancreatic fistula and delineates methods of diagnosis and treatment of this universally dreaded complication.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::e811fa70e0be4522846787c1e1968bac https://doi.org/10.1177/000313481107700310 Zobrazit plný text záznamu