Fistules pancréatiques post-opératoires: étude clinique sur une série de 114 duodéno-pancréatectomies céphaliques consécutives.
(1985) Acta Chirurgica Belgica (Bilingual Edition) — Vol. 85, n° 3, p. 205-210 (1985)
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- Abstract
- The present study explores the incidence, the predisposing factors and the consequences of pancreatic fistulae in a series of 114 consecutive, non selected, pancreatico-duodenal resections performed during the period January 1967-December 1982 for malignant and benign diseases of the (peri)ampullary region and the head of the pancreas. Overall hospital mortality reached 10.8% (12/114 pat.). The most common surgical complication was pancreatic fistula (17 pat.-14.9%) responsible for half of the postoperative fatal outcomes. The incidence of the pancreatic fistula is significantly influenced by a patient age of over 65 years, a preoperative serum bilirubin level exceeding 6 mg %, urgent degree of the intervention, presence of a renal insufficiency and last but not least by the poor quality of the pancreatic remnant. As surgical treatment of this complication is compromised by a high mortality (40% - 4/10 pat.), surgery should be reserved to hemorrhagic or persistent local or systemic, septic complications. Therefore more attention should be given to the prevention of this complication by a careful patient selection, based on evaluation of the different mentioned risk factors and by an adequate technique based on a separation of the different anastomoses by the greater omentum and the transverse mesocolon.
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Lerut, J., Gianello, P., Reynaert, M., Otte, J.-B., & Kestens, P. (1985). Fistules pancréatiques post-opératoires: étude clinique sur une série de 114 duodéno-pancréatectomies céphaliques consécutives. Acta Chirurgica Belgica (Bilingual Edition), 85(3), 205-210. https://hdl.handle.net/2078.5/130425 (Original work published 1985)