Aug 19, 2011

Unplanned reoperation and reintervention after pancreatic resections: an analysis of risk factors

World Journal of Surgery
Odo GanglReinhold Függer

Abstract

The purpose of the study was to determine the incidence of any unplanned reoperation or reintervention procedure after pancreatic resection and to identify the underlying risk factors. A total of 189 consecutive pancreatic resections performed from 2001-2008 were searched for any unplanned reoperation, percutaneous drainage, or angiographic reintervention. A retrospective analysis of a prospectively maintained database, including patient characteristics, comorbidities, details of surgery, specific complications, incidence of reoperation/reintervention, and mortality was performed. Overall rates of reoperation, reintervention, and mortality were 6.3% (12/189), 7.9% (15/189), and 1.6% (3/189), respectively. Four patients underwent reintervention and reoperation, so the combined reoperation/reintervention rate was 12.2% (23/189). Reoperation (P < 0.001) and reintervention (P = 0.002) correlated with mortality. Hemorrhage (relative risk [RR], 58; P = 0.0017) and the combination of hemorrhage and pancreatic fistula (RR, 117; P < 0.0001) were identified as risk factors for unplanned reoperation, hemorrhage (RR, 82; P = 0.005), pancreatic fistula (RR, 42; P < 0.001), and the combination of both complications (RR, 246; P < 0.001) for r...Continue Reading

  • References27
  • Citations8

References

  • References27
  • Citations8

Citations

Mentioned in this Paper

Study
Pancreatitis
Drainage of Liver With Drainage Device, Percutaneous Approach
Pancreatic Fistula
Complication
Analysis
Hemorrhage
Pathologic Fistula
Retrospective Studies
Postoperative Complications

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