Pancreatic Fistula
Conditions
Keywords
risk factors,, clinically relevant pancreatic fistula,, pancreaticoduodenectomy
Brief summary
For periampullary and pancreatic head disorders, pancreaticoduodenectomy (PD) is the standard treatment. However, PD is technically demanding and has high morbidity and mortality rates. The most significant and life-threatening complication of PD is postoperative pancreatic fistula (POPF), with reported rates of 5 to 70% for total POPF and 10 to 45% for clinically relevant (CR-POPF). Operative risk variables for CR-POPF after PD were investigated in this study.
Detailed description
For periampullary and pancreatic head disorders, pancreaticoduodenectomy (PD) is the standard treatment. However, PD is technically demanding and has high morbidity and mortality rates. The most significant and life-threatening complication of PD is postoperative pancreatic fistula (POPF), with reported rates of 5 to 70% for total POPF and 10 to 45% for clinically relevant (CR-POPF). Operative risk variables for CR-POPF after PD were investigated in this study.
Interventions
Pancreaticoduodenectomy operation
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with resectable distal CBD carcinoma, periampullary carcinoma, duodenal carcinoma, and carcinoma of the head of the pancreas. 2. American Society of Anesthesiologists (ASA) scores I & II. 3. Patients aged \> 20 years. 4. Agreement to complete the study.
Exclusion criteria
1. Patients with benign disease, trauma, and receive neoadjuvant therapy. 2. double primary cancers.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinically relevant post operative pancreatic fistula | 10 days | A drainage fluid of any measurable volume with an amylase level more than three times the upper normal serum level on or after the 3rd postoperative day |
Countries
Egypt