Details

Autor(en) / Beteiligte

• El Nakeeb, Ayman
• Sultan, Ahmad M
• Atef, Ehab
• Salem, Ali
• Abu Zeid, Mostaffa
• Abu El Eneen, Ahmed
• El Ebidy, Gamal
• Abdel Wahab, Mohamed

Titel

Tailored pancreatic reconstruction after pancreaticoduodenectomy: a single-center experience of 892 cases

Ist Teil von

• Hepatobiliary & pancreatic diseases international, 2017-10, Vol.16 (5), p.528-536

Ort / Verlag

Singapore: Elsevier B.V

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• BACKGROUND: Pancreatic reconstruction following pancreaticoduodenectomy(PD) is still debatable even for pancreatic surgeons. Ideally, pancreatic reconstruction after PD should reduce the risk of postoperative pancreatic fistula (POPF)and its severity if developed with preservation of both exocrine and endocrine pancreatic functions. It must be tailored to control the morbidity linked to the type of reconstruction.This study was to show the best type of pancreatic reconstruction according to the characters of pancreatic stump.METHODS: We studied all patients who underwent PD in our center from January 1993 to December 2015. Patients were categorized into three groups depending on the presence of risk factors of postoperative complications: low-risk group (absent risk factor), moderate-risk group (presence of one risk factor)and high-risk group (presence of two or more risk factors).