1. Single institute experience of pancreatico-enteric anastomosis failure after pancreaticoduodenectomy
- Author
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Yoonkyung Woo, Youngkyoung You, Jaehyun Han, Hojoong Choi, Yumi Kim, Bongjun Kwak, Taeho Hong, and Donggoo Kim
- Subjects
pancreaticoduodenectomy ,pancreaticojejunostomy ,pancreaticogastrostomy ,pancreatic fistula ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 ,Surgery ,RD1-811 - Abstract
Purpose We have summarized the experience of our institution related to what treatment has been performed in patients with pancreatic fistula and their outcome. Methods Seventy-eight pancreatico-enteric anastomosis failure (PEAF) patients of 403 pancreaticoduodenectomy (PD) were included for this retrospective study. PEAF was defined by the presence of rich amylase (over 10,000 IU/L) in drainage fluid at postoperative day 5 to 7 and radiographic demonstration of the anastomotic breakdown and associated local fluid collection. The management was analyzed by observation group (O group), intervention (I group) and surgery group (S group). Results Preoperative clinical status of the PEAF group and non-PEAF group was similar. Bile duct cancer was the highest risk subgroup of the PEAF (P=0.001) and the pancreatic adenocarcinoma showed the least risk for the PEAF (P
- Published
- 2019
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