Postoperative Complications
Conditions
Keywords
Pancreaticoduodenectomy, Pancreatic postoperative fistula
Brief summary
Postoperative pancreatic fistula(POPF) is the most common complication of pancreaticoduodenectomy (PD). Sometimes POPF is associated with biliary fistula(BF), or mixed fistula. The purpose of this study is to assess whether the severity of the fistulae, when present, is decreased with an external biliary stent in place.
Detailed description
n this single-center study we analyze patients who underwent elective PD from January\_2014 to December\_2017. Patients are divided into two groups: standard PD (ST-PD)vs PD with external biliary stent(PD-BS). Demographic, preoperative, intraoperative, and postoperative variables will be analyze, including complications according to the Clavien-Dindo classification, and those specific to pancreatic surgeries, and mortality rates within 90 days of operation.
Interventions
PROCEDUREExternal biliary stent
The biliary stent consisted of a multi-perforated, natural rubber tube, measuring 3.5 mm in diameter, that we placed transanastomotically, with exteriorization sited at 20 cm utilizing the Witzel jejunostomy approach
Sponsors
Universidad de Extremadura
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Provision of informed consent * Patient age \> 18 years old; * Elective pancreaticoduodenectomy performed for primary pancreatic disease.
Exclusion criteria
* Pancreaticoduodenectomy with multivisceral resection (organ other than duodenum, pancreas, gallbladder, and bile duct); * Patients with peritoneal or liver metastases found during surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | 90 days | Any postoperative complications |
Outcome results
None listed