Good Results After Major Pancreatic Resections in a Middle-Volume Center
| Autor: | George H. Sakorafas, Spiros Christodoulou, Konstantina Petropoulou, George Peros, George Giannopoulos, George Konstantoudakis |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Endocrinology Diabetes and Metabolism medicine.medical_treatment Splenectomy Pancreaticoduodenectomy Pancreatectomy Endocrinology Internal Medicine medicine Humans Hospital Mortality Aged Aged 80 and over Greece Hepatology Gastric emptying business.industry Middle Aged medicine.disease Thoracostomy Surgery Pancreatic Neoplasms Pancreatic fistula Female Distal pancreatectomy business |
| Zdroj: | Pancreas. 39:411-414 |
| ISSN: | 0885-3177 |
| DOI: | 10.1097/mpa.0b013e3181bd94ce |
| Popis: | Objectives: Recently, hospital and surgeon volume is widely discussed as a prognostic factor after major pancreatic surgery. We present our experience regarding major pancreatectomy in a middle-volume center. Methods: During the last 11 years, 66 patients underwent major pancreatectomy (pancreaticoduodenectomy [n = 52], distal pancreatectomy with splenectomy [n = 13], and central pancreatectomy [n = 1]). Postoperative course and long-term outcome were recorded and analyzed. Results: One patient died after pancreaticoduodenectomy for ampullary cancer (total mortality of approximately 1.5% for the whole group of patients or 1.9% for the group of patients who underwent pancreatoduodenectomy). None of our patients was reoperated on. Transient pancreatic fistula was observed in 46 patients (36 patients after pancreatoduodenectomy [69%] and 10 patients after distal pancreatectomy [77%]). Two patients required percutaneous computed tomography-guided drainage of fluid collections, whereas in another one, a tube thoracostomy was performed to drain a pleuritic fluid collection. Delayed gastric emptying was observed in 6 patients after pancreatoduodenectomy. Median survival for the whole group of patients was 17 months. Conclusions: Major pancreatic resections can be performed safely, with acceptable morbidity and mortality and good long-term results, even in middle-volume centers. However, experience is required from the part of the operating surgeon. Conclusions: Abbreviations: PD - pancreatoduodenectomy, DP - distal pancreatectomy, PPPD - pylorus-preserving pancreatoduodenectomy |
| Databáze: | OpenAIRE |
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