[Morbidity and mortality in pancreatic resection]
| Autor: | Jose Luis Ulla-Rocha, Elías Domínguez-Comesaña, Ángel Lede-Fernandez, Miguel Ángel Piñon-Cimadevila, Francisco Javier Gonzalez-Rodriguez, José Luis Portela-Serra |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Total pancreatectomy medicine.medical_treatment Enucleation High morbidity Pancreatectomy Postoperative Complications medicine Humans Prospective Studies Pancreatic resection Aged Aged 80 and over business.industry General surgery Incidence (epidemiology) General Engineering Middle Aged medicine.disease Surgery Pancreatic fistula Female Distal pancreatectomy business |
| Zdroj: | Cirugia espanola. 91(10) |
| ISSN: | 1578-147X |
| Popis: | Aim Assess the postoperative morbidity rates in pancreatic resection. Material and method Prospective observational study which includes 117 patients who underwent surgery consecutively due to pancreatic or periampullary tumours. In 61 of the patients, cephalic pancreatectomy was carried out; 15 underwent total pancreatectomy; one underwent enucleation and 40 underwent distal pancreatectomy. Results Overall morbidity was 48.7% (59% for cephalic pancreatectomy, 35% for distal pancreatectomy and 46.7% for total pancreatectomy). The most frequent complications were intra-abdominal abscesses and collections (15.38%) and medical complications (13.68%). The incidence of pancreatic fistula was 9.83% for cephalic pancreatectomy and 10% for distal pancreatectomy. The reintervention incidence was 14.53%. Overall mortality was 5.12% (6.56% for cephalic pancreatectomy, 2.5% for distal pancreatectomy and 6.67% for total pancreatectomy). The presence of postoperative complications, the need for reintervention and the fact of being over 70 years of age correlated significantly with mortality. Discussion Pancreatic resection has high morbidity rates. Mortality is low and is practically limited to patients older than 70 years. |
| Databáze: | OpenAIRE |
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