Tailored pancreatic reconstruction after pancreaticoduodenectomy: a single-center experience of 892 cases

Tailored pancreatic reconstruction after pancreaticoduodenectomy: a single-center experience of 892 cases

BACKGROUND: Pancreatic reconstruction following pancreaticoduodenectomy(PD) is still debatable even for pancreatic surgeons. Ideally, pancreatic reconstruction after PD should reduce the risk of postoperative pancreatic fistula (POPF)and its severity if developed with preservation of both exocrine a...

Full description

Saved in:
Bibliographic Details
Published in:Hepatobiliary & pancreatic diseases international Vol. 16; no. 5; pp. 528 - 536
Main Authors: El Nakeeb, Ayman, Sultan, Ahmad M, Atef, Ehab, Salem, Ali, Abu Zeid, Mostaffa, Abu El Eneen, Ahmed, El Ebidy, Gamal, Abdel Wahab, Mohamed
Format: Journal Article
Language:English
Published: Singapore Elsevier B.V 15-10-2017
Gastroenterology Surgical Center, Mansoura Uni-versity, Mansoura 35516, Egypt
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Ampulla of Vater
Child
Common Bile Duct Neoplasms - surgery
Female
fistula
Humans
Male
Middle Aged
Pancreas - surgery
pancreatic
Pancreatic Fistula - prevention & control
pancreaticoduodenectomy
Pancreaticoduodenectomy - adverse effects
pancreaticogastrostomy
pancreaticojejunostomy
periampullary
periampullary tumor
Postoperative Complications - prevention & control
postoperative pancreatic fistula
Reconstructive Surgical Procedures - methods
tumor;pancreaticogastrostomy;pancreaticojejunostomy;pancreaticoduodenectomy;postoperative
Young Adult
pancreaticojejunostomy
postoperative pancreatic fistula
periampullary tumor
pancreaticoduodenectomy
pancreaticogastrostomy
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:BACKGROUND: Pancreatic reconstruction following pancreaticoduodenectomy(PD) is still debatable even for pancreatic surgeons. Ideally, pancreatic reconstruction after PD should reduce the risk of postoperative pancreatic fistula (POPF)and its severity if developed with preservation of both exocrine and endocrine pancreatic functions. It must be tailored to control the morbidity linked to the type of reconstruction.This study was to show the best type of pancreatic reconstruction according to the characters of pancreatic stump.METHODS: We studied all patients who underwent PD in our center from January 1993 to December 2015. Patients were categorized into three groups depending on the presence of risk factors of postoperative complications: low-risk group (absent risk factor), moderate-risk group (presence of one risk factor)and high-risk group (presence of two or more risk factors).
Bibliography:33-1391/R
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1499-3872
DOI:10.1016/S1499-3872(17)60051-1