Role of morpho-histological features of pancreatic stump in prediction of postoperative pancreatic fistula (POPF) development after pancreaticoduodenectomy (PD)

Pancreatology ◽  
2013 ◽  
Vol 13 (3) ◽  
pp. S82
Author(s):  
Francesca Gavazzi ◽  
Maria Rachele Angiolini ◽  
Cristina Ridolfi ◽  
Maria Carla Tinti ◽  
Marco Madonini ◽  
...  
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.


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

2010 ◽  
Vol 138 (5) ◽  
pp. S-901
Author(s):  
Dominique Suelberg ◽  
Franziska Beuschel ◽  
Christiane Kotschenreuther ◽  
Torsten Herzog ◽  
Ansgar M. Chromik ◽  
...  

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