Predictors of external pancreatic fistulae after pancreatic resection

Khirurgiia
E S DrozdovS S Klokov

Abstract

Despite a significant decrease in postoperative mortality after pancreatic resections in recent years (5.2-15% after pancreatoduodenectomy and about 5% after distal pancreatectomy), incidence of postoperative complications remains high (30-50% and 22-50%, respectively). Postoperative pancreatic fistula is one of the most common and formidable complications. Currently, most authors use the classification proposed by the International Study Group for Pancreatic Fistula (biochemical failure, fistula type B and C). Prediction of the risk of postoperative fistula is still a complex and unresolved problem of modern surgical pancreatology. According to the literature, the main risk factors of postoperative pancreatic fistulae are obesity and high body mass index, concomitant cardiovascular diseases, no neoadjuvant chemo- and radiotherapy, soft pancreatic texture, narrow pancreatic duct, no fibrotic changes in parenchyma, adipose infiltration of the pancreas, advanced intraoperative blood loss, as well as center experience. Most often, magnetic resonance imaging, computed tomography, ultrasound elastography and various multivariate risk assessment systems are used to estimate the risk of pancreatic fistulae. However, a generally accept...Continue Reading

References

May 17, 2006·Surgery·Fabrice MuscariUNKNOWN French Associations for Surgical Research
Mar 27, 2007·Journal of the American College of Surgeons·Emilie LermiteJean-Pierre Arnaud
Nov 29, 2007·Annals of Surgery·Abhishek MathurKeith D Lillemoe
May 23, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mark P CalleryCharles M Vollmer
Jul 11, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Zisun KimChul Moon
Aug 14, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jason W DenboStephen W Behrman
Nov 6, 2012·Journal of the American College of Surgeons·Mark P CalleryCharles M Vollmer
Feb 23, 2013·Journal of Hepato-biliary-pancreatic Sciences·Motokazu SugimotoHironori Kaneko
Apr 26, 2014·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Tae Kil LeeMyeong-Jin Kim
Mar 1, 2015·Journal of the American College of Surgeons·John L Cameron, Jin He
Apr 30, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yasunori NishidaMasaru Konishi
Jan 4, 2017·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Surgery (ISGPS)
Jun 1, 2017·Digestive Surgery·Mirko D'OnofrioRoberto Pozzi Mucelli
Oct 6, 2018·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Chathura Bb RatnayakeSanjay Pandanaboyana
Mar 20, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Wonju HongMin Jeong Kim
Apr 6, 2019·Journal of Surgical Oncology·Ryan J EllisAnthony D Yang
Jun 19, 2019·World Journal of Gastroenterology : WJG·Ye LiJian Zhou

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