Pancreas Neoplasm
Conditions
Brief summary
Postoperative pancreatic fistula is a potentially fatal sequela with substantial morbidity and mortality. A retrospective observational study was conducted in the surgical unit of Zagazig university hospital . Three hundred forty-seven patients were admitted with a clinical diagnosis of pancreatic fistula following both open and laparoscopic approaches for pancreatic benign and malignant tumors.
Detailed description
Postoperative pancreatic fistula is a potentially fatal sequela with substantial morbidity and mortality. POPF incidence and risk factors vary. A retrospective observational study was conducted in the surgical unit of Zagazig university hospital . Three hundred forty-seven patients were admitted with a clinical diagnosis of pancreatic fistula following both open and laparoscopic approaches for pancreatic benign and malignant tumors.
Interventions
pancreaticoduodenectomy and distal pancreatectomy
Sponsors
Study design
Eligibility
Inclusion criteria
* \> 18 years, * both sexes, * respectablee pancreaticoduodenal tumors, or chronic pancreatitis
Exclusion criteria
* \<18 years, * Patients who underwent total pancreatectomies, * Patients discovered intraoperatively to be fixed to portal vein or superior mesenteric artery, traumatic pancreatic surgeries, postoperative associated gastric or biliary leak, pancreaticoduodenal cancers infiltrating the colon, stomach or liver.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of postoperative pancreatic fistula | 3.5 years | an amylase level in the fluid collected from the drain on the third postoperative day (POD) that was \> three times the serum amylase level |