A comparison of surgical approaches in the treatment of grade C postoperative pancreatic fistula: A retrospective study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F22%3A00001188" target="_blank" >RIV/61383082:_____/22:00001188 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/22:10446233

Result on the web

<a href="https://pubmed.ncbi.nlm.nih.gov/36017512/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/36017512/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3389/fsurg.2022.927737" target="_blank" >10.3389/fsurg.2022.927737</a>

Result language

angličtina

Original language name

A comparison of surgical approaches in the treatment of grade C postoperative pancreatic fistula: A retrospective study

Original language description

Background: Postoperative pancreatic fistula is one of the most dreaded complications following pancreatic resections with Grade C the most severe. Several possible types of surgical intervention are available but to date, none of them have clearly shown superiority. This study aims to compare different surgical approaches. Methods: A retrospective analysis of patients who underwent revision surgery for postoperative pancreatic fistula between 2008 and 2020 was performed. Three surgical approaches were compared: open drainage; a disconnection of the pancreaticojejunostomy; and salvage total pancreatectomy. The data of nine monitored parameters were collected. Selected parameters were statistically analyzed and compared. Results: A total of 54 patients were included. Eighteen patients underwent open drainage, 28 had disconnections of the pancreaticojejunostomy and eight had salvage total pancreatectomy. Statistically significant differences were observed in the time of Intensive Care Unit stay, the number of surgical interventions, 90-day mortality, the number of administered blood transfers and treatment costs. Open drainage showed to be superior in each category. The difference in long-term survival also slightly favored simple drainage. Conclusion: Open drainage procedure showed to be superior to other types of interventions in most of the monitored parameters. Disconnection of the pancreaticojejunostomy and a salvage total pancreatectomy had similar results, which correlated with the surgical burden of these interventions.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30212 - Surgery

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

FRONTIERS IN SURGERY

ISSN

2296-875X

e-ISSN

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Volume of the periodical

2022

Issue of the periodical within the volume

Aug 9

Country of publishing house

CH - SWITZERLAND

Number of pages

8

Pages from-to

1-8

UT code for WoS article

000843821900001

EID of the result in the Scopus database

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