Facing the surgeon's nightmare

  • \(\bf Background\) Postoperative pancreatic fistulas (POPF) grade C represent a rare but feared complication following pancreaticoduodenectomy (PD). They can contribute significantly to postoperative morbidity and mortality. \(\bf Methods\) We performed a retrospective chart review for all patients who had undergone pancreatic head resection between 2007 and 2016 to identify those who suffered from POPF grade C according to the updated definition of the International Study Group of Pancreatic Surgery (ISGPS). \(\bf Results\) A total of 722 patients underwent PD. Twenty-three patients (3.19%) developed a POPF grade C. Cardiovascular diseases, soft pancreatic texture and main pancreatic duct diameter were identified as risk factors (\(\it P\) < .05). Reoperation was necessary in all affected patients on postoperative day 12 \(\pm\) 9 on average. Mortality was significantly associated with POPF grade C (\(\it P\) < .05) being present in 39.1% (9/23). \(\bf Conclusions\) POPF grade C after PD remains a serious complication with a high level of morbidity and mortality. Surgical treatment is the sole curative therapy and thus the treatment of choice.

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Author:Andreas Minh LuuORCiDGND, Lukas KrasemannGND, Tim FahlbuschGND, Orlin BelyaevORCiDGND, Monika Janot-MatuschekGND, Waldemar UhlORCiDGND, Chris BraumannORCiDGND
Parent Title (English):Journal of Hepato-Biliary-Pancreatic Sciences
Subtitle (English):Incidence and management of postoperative pancreatic fistulas grade C after pancreaticoduodenectomy based on the updated definition of the International Study Group of Pancreatic Surgery (ISGPS)
Place of publication:Weinheim
Document Type:Article
Date of Publication (online):2024/03/08
Date of first Publication:2020/01/17
Publishing Institution:Ruhr-Universität Bochum, Universitätsbibliothek
Tag:International Study Group of Pancreatic Surgery; Whipple's procedure; pancreaticoduodenectomy; postoperative pancreatic fistula
First Page:171
Last Page:181
Dieser Beitrag ist auf Grund des DEAL-Wiley-Vertrages frei zugänglich.
Institutes/Facilities:St. Josef-Hospital Bochum, Klinik für Allgemein- und Viszeralchirurgie
Dewey Decimal Classification:Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit
open_access (DINI-Set):open_access
Licence (English):License LogoCreative Commons - CC BY 4.0 - Attribution 4.0 International