Fluid collection after distal pancreatectomy: a frequent finding

HPB : the Official Journal of the International Hepato Pancreato Biliary Association
Christin TjadenThilo Hackert

Abstract

Fluid collections (FC) at the resection margin of the pancreatic stump after distal pancreatectomy (DP) are common radiological findings in follow-up scans. No recommendations exist regarding the management of such findings. The aim was to characterise incidence, risk factors, clinical impact and therapy of FC. Data of 209 patients who underwent DP between 07/2009 and 06/2011 were prospectively collected and analysed, regarding follow-up CT or MRI scan findings of FC at the resection margin. FC was defined as a cyst-like lesion >1 cm in diameter. A follow-up with at least two cross-sectional images was available in 159/209 patients. In the first postoperative control, 68 patients showed an FC (43%). FC size was classified as <5 cm (n = 38 pat.), 5-10 cm (n = 24 pat.) and >10 cm (n = 6 pat.). 20 patients (30%) showed clinical symptoms. Six patients (9%) required specific treatment, all other FC showed spontaneous regression. No correlation with stump closure techniques or preceding postoperative pancreatic fistula was found (4/68 patients, 6%). Multivariate analysis revealed standard resections as the only significant factor for FC. FCs at the resection margin after DP are frequent and harmless findings. Therapeutic intervention...Continue Reading

References

May 11, 1999·Annals of Surgery·K D LillemoeC J Yeo
Jul 9, 2005·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Fistula Definition
Oct 29, 2008·Journal of the American College of Surgeons·Niels A van der GaagDirk J Gouma
Jun 16, 2011·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Thilo HackertMarkus W Büchler
Nov 25, 2011·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Thilo Hackert, Markus W Büchler
Nov 9, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Fritz KleinMarcus Bahra
Jan 10, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·John A StaufferHoracio J Asbun

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Citations

Dec 10, 2015·Pancreas·Christine TjadenThilo Hackert
Mar 29, 2018·Langenbeck's Archives of Surgery·Yuichiro UchidaShinji Uemoto
Apr 21, 2019·World Journal of Surgery·Jun YoshinoMinoru Tanabe
Aug 17, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Yuichiro UchidaShinji Uemoto
Feb 7, 2021·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Martin LoosMarkus W Büchler
Jun 21, 2021·The Korean Journal of Internal Medicine·Young Jung KimMi-Hye Yu

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