Abstract
Background: Pancreatic leak is a major source of morbidity associated with pancreatic surgery. We sought to identify disease and technique-dependent factors associated with morbidity and mortality after distal pancreatectomy. Methods: Retrospective review of patients who underwent distal pancreatectomy during a 5-year period. Clinical, technical, and pathologic data were correlated with operative morbidity or mortality. Results: Fifty-one patients underwent distal pancreatectomy for primary pancreatic disease, extrapancreatic malignancy, or trauma. Overall perioperative mortality and morbidity rates were 4% and 47%, respectively. Pancreatic leak was the most common complication, occurring in 26% of patients. Overall complications and pancreatic leaks occurred more often after distal pancreatectomy for trauma and in patients with a sutured pancreatic stump closure. Conclusions: Distal pancreatectomy can be performed with a low rate of mortality, though pancreatic leak is a common cause of morbidity. The urgency of the procedure and the method of pancreatic stump closure may influence postoperative morbidity.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 237-241 |
| Number of pages | 5 |
| Journal | American Journal of Surgery |
| Volume | 183 |
| Issue number | 3 |
| DOIs | |
| State | Published - 2002 |
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Keywords
- Distal pancreatectomy
- Pancreas
- Pancreatic leak
ASJC Scopus subject areas
- Surgery
Cite this
Morbidity, mortality, and technical factors of distal pancreatectomy. / Fahy, Bridget N.; Frey, Charles F.; Ho, Hung S; Beckett, Laurel A; Bold, Richard J.
In: American Journal of Surgery, Vol. 183, No. 3, 2002, p. 237-241.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Morbidity, mortality, and technical factors of distal pancreatectomy
AU - Fahy, Bridget N.
AU - Frey, Charles F.
AU - Ho, Hung S
AU - Beckett, Laurel A
AU - Bold, Richard J
PY - 2002
Y1 - 2002
N2 - Background: Pancreatic leak is a major source of morbidity associated with pancreatic surgery. We sought to identify disease and technique-dependent factors associated with morbidity and mortality after distal pancreatectomy. Methods: Retrospective review of patients who underwent distal pancreatectomy during a 5-year period. Clinical, technical, and pathologic data were correlated with operative morbidity or mortality. Results: Fifty-one patients underwent distal pancreatectomy for primary pancreatic disease, extrapancreatic malignancy, or trauma. Overall perioperative mortality and morbidity rates were 4% and 47%, respectively. Pancreatic leak was the most common complication, occurring in 26% of patients. Overall complications and pancreatic leaks occurred more often after distal pancreatectomy for trauma and in patients with a sutured pancreatic stump closure. Conclusions: Distal pancreatectomy can be performed with a low rate of mortality, though pancreatic leak is a common cause of morbidity. The urgency of the procedure and the method of pancreatic stump closure may influence postoperative morbidity.
AB - Background: Pancreatic leak is a major source of morbidity associated with pancreatic surgery. We sought to identify disease and technique-dependent factors associated with morbidity and mortality after distal pancreatectomy. Methods: Retrospective review of patients who underwent distal pancreatectomy during a 5-year period. Clinical, technical, and pathologic data were correlated with operative morbidity or mortality. Results: Fifty-one patients underwent distal pancreatectomy for primary pancreatic disease, extrapancreatic malignancy, or trauma. Overall perioperative mortality and morbidity rates were 4% and 47%, respectively. Pancreatic leak was the most common complication, occurring in 26% of patients. Overall complications and pancreatic leaks occurred more often after distal pancreatectomy for trauma and in patients with a sutured pancreatic stump closure. Conclusions: Distal pancreatectomy can be performed with a low rate of mortality, though pancreatic leak is a common cause of morbidity. The urgency of the procedure and the method of pancreatic stump closure may influence postoperative morbidity.
KW - Distal pancreatectomy
KW - Pancreas
KW - Pancreatic leak
UR - http://www.scopus.com/inward/record.url?scp=0036203367&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036203367&partnerID=8YFLogxK
U2 - 10.1016/S0002-9610(02)00790-0
DO - 10.1016/S0002-9610(02)00790-0
M3 - Article
VL - 183
SP - 237
EP - 241
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 3
ER -