scholarly journals The role of acinar content at pancreatic resection margin in the development of postoperative pancreatic fistula and acute pancreatitis after pancreaticoduodenectomy

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S843
Author(s):  
V. Andreasi ◽  
S. Partelli ◽  
M. Schiavo Lena ◽  
P.M. Rancoita ◽  
M. Mazza ◽  
...  
2010 ◽  
Vol 138 (5) ◽  
pp. S-901
Author(s):  
Dominique Suelberg ◽  
Franziska Beuschel ◽  
Christiane Kotschenreuther ◽  
Torsten Herzog ◽  
Ansgar M. Chromik ◽  
...  

HPB ◽  
2018 ◽  
Vol 20 (5) ◽  
pp. 432-440 ◽  
Author(s):  
Christopher B. Nahm ◽  
Kai M. Brown ◽  
Philip J. Townend ◽  
Emily Colvin ◽  
Viive M. Howell ◽  
...  

Author(s):  
Roberto Salvia ◽  
Gabriella Lionetto ◽  
Giampaolo Perri ◽  
Giuseppe Malleo ◽  
Giovanni Marchegiani

AbstractPostoperative pancreatic fistula (POPF) still represents the major driver of surgical morbidity after pancreaticoduodenectomy. The purpose of this narrative review was to critically analyze current evidence supporting the use of total pancreatectomy (TP) to prevent the development of POPF in patients with high-risk pancreas, and to explore the role of completion total pancreatectomy (CP) in the management of severe POPF. Considering the encouraging perioperative outcomes, TP may represent a promising tool to avoid the morbidity related to an extremely high-risk pancreatic anastomosis in selected patients. Surgical management of severe POPF is only required in few critical scenarios. In this context, even if anecdotal, CP might play a role as last resort in expert hands.


2018 ◽  
Vol 84 (1) ◽  
pp. 149-153 ◽  
Author(s):  
Takao Ohtsuka ◽  
Yasuhisa Mori ◽  
Takaaki Fujimoto ◽  
Yoshihiro Miyasaka ◽  
Kohei Nakata ◽  
...  

The aim of this study was to assess the feasibility of prophylactic pancreatojejunostomy after enucleation or limited pancreatic resection regarding the risk of postoperative pancreatic fistula (PF). We retrospectively reviewed the medical records of 32 patients who underwent enucleation or limited pancreatic resection and compared the clinical parameters between patients with ( n = 10) and without ( n = 22) prophylactic pancreatojejunostomy. Prophylactic pancreatojejunostomy was performed in patients with a possible high risk ofPF. No operation-related mortality occurred. Operation time was significantly longer ( P < 0.01) and blood loss significantly greater ( P < 0.01) in patients with pancreatojejunostomy. Overall complications were more frequent ( P = 0.02) and postoperative hospital stay was significantly longer ( P = 0.02) in patients with pancreatojejunostomy. However, other assessed factors including the prevalence of postoperative PF did not differ between groups. In conclusion, prophylactic pancreatojejunostomy is feasible, and its efficacy in preventing PF after enucleation or limited pancreatic resection in high-risk patients will require further study.


2021 ◽  
Vol 128 ◽  
pp. 110714
Author(s):  
Rosa B. Schmuck ◽  
Evi Lippens ◽  
Dag Wulsten ◽  
Daniela S. Garske ◽  
Annika Strönisch ◽  
...  

2020 ◽  
Vol 121 (08) ◽  
pp. 541-546
Author(s):  
M. Sabol ◽  
R. Donat ◽  
D. Dyttert ◽  
V. Reken ◽  
D. Sintal ◽  
...  

2020 ◽  
Vol 158 (6) ◽  
pp. S-1582
Author(s):  
Minsang Kim ◽  
Michael A. Mederos ◽  
Harsh Patel ◽  
Vileena Koneru ◽  
Daniela Markovic ◽  
...  

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