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Pancreatic Fistula Rate after Pancreatic Resection

Published on Jan 1, 2004in Digestive Surgery1.88
· DOI :10.1159/000075943
Claudio Bassi79
Estimated H-index: 79
(University of Verona),
Giovanni Butturini35
Estimated H-index: 35
(University of Verona)
+ 5 AuthorsPaolo Pederzoli66
Estimated H-index: 66
(University of Verona)
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Abstract
Background: Pancreatic fistula (PF) is still regarded as a serious complication both in terms of frequency and sequelae. The incidence varies greatly in different reports because of
  • References (33)
  • Citations (217)
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References33
Newest
Published on Sep 1, 2001in British Journal of Surgery5.59
Julie Bruce29
Estimated H-index: 29
(Aberd.: University of Aberdeen),
Z. H. Krukowski32
Estimated H-index: 32
(Aberd.: University of Aberdeen)
+ 2 AuthorsK. G. Park1
Estimated H-index: 1
(Aberd.: University of Aberdeen)
Background: Anastomotic leak after gastrointestinal surgery is an important postoperative event that leads to significant morbidity and mortality. Postoperative leak rates are frequently used as an indicator of the quality of surgical care provided. Comparison of rates between and within institutions depends on the use of standard definitions and methods of measurement of anastomotic leak. The aim of this study was to review the definition and measurement of anastomotic leak after oesophagogastr...
Published on Feb 1, 2001in British Journal of Surgery5.59
J. Li‐Ling1
Estimated H-index: 1
(Newcastle University),
M. Irving1
Estimated H-index: 1
(Newcastle University)
Background: The aim of this study was to evaluate, through systematic review, the effectiveness of somatostatin and octreotide in the prevention of postoperative pancreatic complications and the treatment of established enterocutaneous pancreatic fistulas. Methods: Electronic databases, including Medline and EMBASE, were searched systematically by using keywords including ‘somatostatin’, ‘octreotide’, ‘fistula’ and ‘randomiz(s)ed controlled trial’. In addition, citations of relevant primary and ...
Published on Jan 1, 2001in Digestive Surgery1.88
Claudio Bassi79
Estimated H-index: 79
(University of Verona),
Massimo Falconi71
Estimated H-index: 71
(UniSR: Vita-Salute San Raffaele University)
+ 3 AuthorsPaolo Pederzoli66
Estimated H-index: 66
(University of Verona)
Pancreaticoduodenectomy (PD) is still a difficult procedure with significant morbidity. We report 150 consecutive PDs performed during a 3-year period. All the cases have been prospectively evaluated
Published on Jul 1, 2000in British Journal of Surgery5.59
Markus W. Büchler125
Estimated H-index: 125
(University of Bern),
Helmut Friess64
Estimated H-index: 64
(University of Bern)
+ 3 AuthorsK. Z'graggen9
Estimated H-index: 9
(University of Bern)
Background Pancreatic resections can be performed with great safety. However, the morbidity rate is reported to be 40–60 per cent with a high prevalence of pancreatic complications. The aim of this study was to analyse complications after pancreatic head resection, with particular attention to morbidity and pancreatic fistula. Methods From November 1993 to May 1999, perioperative and postoperative data from 331 consecutive patients undergoing pancreatic head resection were recorded prospectively...
Published on Apr 1, 2000in British Journal of Surgery5.59
Seigo Takano9
Estimated H-index: 9
(Nihon University),
Yutaka Ito3
Estimated H-index: 3
(Nihon University)
+ 3 AuthorsShigetomi Iwai12
Estimated H-index: 12
(Nihon University)
Background: Pancreaticogastrostomy (PG) after pancreaticoduodenectomy has been reported to have a lower incidence of pancreatic fistula than pancreaticojejunostomy (PJ) but this was not confirmed in a recent prospective randomized study. Methods: Different methods of reconstruction after pancreaticoduodenectomy were used between January 1994 and January 1999 in two university-affiliated hospitals, PJ (n = 69) in one hospital and PG (n = 73) in the other. Operations at both hospitals were perform...
Published on Dec 1, 1999in Chirurgie
Karem Slim36
Estimated H-index: 36
,
Emmanuel Buc12
Estimated H-index: 12
+ 3 AuthorsJ. Chipponi24
Estimated H-index: 24
Resume But de l'etude : La fistule pancreatique constitue la principale complication apres duodeno-pancreatectomie cephalique. Il est actuellement prouve que les analogues de la somatostatine diminuent la morbidite apres pancreatectomie. Le but de cette etude preliminaire etait d'evaluer l'utilisation du lanreotide (analogue de la somatostatine a liberation prolongee). Patients et methode : Quarante patients ayant une tumeur de la tete du pancreas ont ete inclus dans cette etude prospective. Les...
Published on May 1, 1999in British Journal of Surgery5.59
Yasuyuki Suzuki54
Estimated H-index: 54
(Kobe University),
Yasuhiro Fujino24
Estimated H-index: 24
(Kobe University)
+ 7 AuthorsYoshikazu Kuroda44
Estimated H-index: 44
(Kobe University)
Background: Resection of the non-fibrotic pancreas is prone to postoperative pancreatic fistula because of well preserved exocrine secretions and easily crushed soft parenchyma. The purpose of this study was to evaluate ultrasonic dissection for division of the non-fibrotic pancreas in distal pancreatectomy. Methods: All pancreata included in this study were soft on direct palpation and their main ducts had no dilatation, at least proximally from the transection line. Fifty-eight patients with g...
Published on Jan 1, 1999in Hpb3.05
Claudio Bassi79
Estimated H-index: 79
(University of Verona),
Giovanni Butturini35
Estimated H-index: 35
(University of Verona)
+ 5 AuthorsPaolo Pederzoli66
Estimated H-index: 66
(University of Verona)
Background Numerous surgical techniques have been described in the literature for pancreatic stump management following left resection, but there is only one prospective, randomised study. A prospective randomised pilot study was designed to assess five different pancreatic stump management techniques after distal resection in an attempt to identify which was the most effective in terms of complications and ease of execution. Methods Sixty-nine consecutive patients were randomly assigned to five...
Published on Dec 1, 1998in Surgery3.48
Bernard J. Park41
Estimated H-index: 41
(NIH: National Institutes of Health),
H. Richard Alexander64
Estimated H-index: 64
(NIH: National Institutes of Health)
+ 10 AuthorsThomas H. Shawker48
Estimated H-index: 48
(NIH: National Institutes of Health)
Abstract Background: Pancreatic islet cell tumors (ICTs) can be treated by enucleation or pancreatic resection. We reviewed our experience with ICTs in the head of the pancreas to define indications for enucleation versus pancreaticoduodenectomy. Methods: Between January 1982 and December 1997, 48 patients underwent surgical resection for presumed ICTs of the pancreatic head. Of these, 18 were found on pathologic examination to be disease in a lymph node. Thirty patients had 32 true pancreatic h...
Published on Oct 1, 1998in Archives of Surgery
Norihiro Sato37
Estimated H-index: 37
,
Koji Yamaguchi22
Estimated H-index: 22
+ 1 AuthorsMasaoTanaka76
Estimated H-index: 76
Objective To evaluate the risk factors for pancreatic fistula after pancreatic head resection. Design Retrospective review. Setting University hospital, in the 71-month period from January 1992 through November 1997. Patients and Intervention Sixty-two patients who underwent pancreatic head resection with pancreatojejunostomy. We performed an extensive analysis of preoperative and perioperative risk factors for pancreatic fistula. Main Outcome Measures Pancreatic fistula was defined as high amyl...
Cited By217
Newest
Published on Oct 1, 2019in Materials Science and Engineering: C4.96
Yuan-Yuan Yang , Chaoqian Zhao5
Estimated H-index: 5
(CAS: Chinese Academy of Sciences)
+ 3 AuthorsHe-Guang Huang
Abstract The purpose of our research was to verify the feasibility and effectiveness of a novel three-dimensional printed biopolymer device (3DP-BPD) for duct-to-mucosa pancreaticojejunostomy (PJ) in minipigs. Polylactic acid (PLA) was selected as the raw materials for 3DP-BPD. Three components of a 3DP-BPD were designed and manufactured: hollow stent, supporting disk, and nut. A pancreatic duct dilation model was developed in six minipigs. After 4 weeks, minipigs underwent operations with duct-...
Published on Sep 1, 2019in BMJ Open2.38
Lily Park (U of O: University of Ottawa), Laura Baker (Ottawa Hospital)+ 5 AuthorsKimberly A. Bertens5
Estimated H-index: 5
Background Clinically relevant postoperative pancreatic fistula (CR-POPF) is the most common cause of major morbidity following pancreatic resection. Intra-abdominal drains are frequently positioned adjacent to the pancreatic anastomosis or transection margin at the time of surgery to aid in detection and management of CR-POPF. Drains can either evacuate fluid by passive gravity (PG) or be attached to a closed suction (CS) system using negative pressure. There is controversy as to whether one of...
Published on Jul 12, 2019in Expert Review of Gastroenterology & Hepatology2.99
Yien Xiang1
Estimated H-index: 1
(JLU: Jilin University),
Jiacheng Wu (JLU: Jilin University)+ 5 AuthorsXuewen Zhang6
Estimated H-index: 6
(JLU: Jilin University)
Published on 2019in Hpb3.05
Kjetil Søreide39
Estimated H-index: 39
,
Andrew J. Healey + 1 AuthorsRowan W. Parks36
Estimated H-index: 36
(Edin.: University of Edinburgh)
Abstract Background The most hazardous complication to pancreatic surgery is the development of a post-operative pancreatic fistula (POPF). Appropriate understanding of the underlying pathophysiology, risk factors and perioperative mechanisms may allow for better management and use of preventive measures. Methods Systematic literature search using the English PubMed literature up to April 2019, with emphasis on the past 5 years. Results Several risk scores have been developed but none are perfec...
Published on May 1, 2019in Surgical Endoscopy and Other Interventional Techniques3.21
Yunqiang Cai2
Estimated H-index: 2
(Sichuan University),
Hua Luo + 2 AuthorsBing Peng3
Estimated H-index: 3
(Sichuan University)
Background Pancreaticojejunostomy (PJ) reconstruction is the Achilles’ heel of laparoscopic pancreaticoduodenectomy (LPD). However, only a few studies have focused on the performance of this difficult procedure laparoscopically.
Published on Mar 15, 2019in Gut and Liver2.97
Giovanni Marchegiani17
Estimated H-index: 17
(University of Verona),
Stefano Andrianello6
Estimated H-index: 6
(University of Verona)
+ 1 AuthorsClaudio Bassi79
Estimated H-index: 79
(University of Verona)
Published on Mar 15, 2019in Gut and Liver2.97
Jong Jin Hyun1
Estimated H-index: 1
(Virginia Mason Medical Center),
Nadav Sahar3
Estimated H-index: 3
(Virginia Mason Medical Center)
+ 6 AuthorsMichael Gluck25
Estimated H-index: 25
(Virginia Mason Medical Center)
Background/Aims: Acute pancreatitis complicated by walled-off necrosis (WON) is associated with high morbidity and mortality, and if infected, typically necessitates intervention. Clinical outcomes of infected WON have been described as poorer than those of symptomatic sterile WON. With the evolution of minimally invasive therapy, we sought to compare outcomes of infected to symptomatic sterile WON. Methods: We performed a retrospective cohort study examining patients who were undergoing dual-mo...
Published on Mar 1, 2019in Langenbeck's Archives of Surgery2.09
André L. Mihaljevic12
Estimated H-index: 12
(Heidelberg University),
Mohammed Al-Saeedi1
Estimated H-index: 1
(Heidelberg University),
Thilo Hackert34
Estimated H-index: 34
(Heidelberg University)
Background Pancreatic surgery has undergone substantial changes during the last decades. Improved surgical techniques and perioperative care have contributed to improved outcomes and allow safe surgery with mortality rates below 5% in specialized centers today. In parallel, surgical indications and procedures have been continuously extended especially with regard to pancreatic cancer surgery including vascular resections and multivisceral approaches for advanced findings.