[Intraoperative risks and early postoperative complications in surgery of chronic pancreatitis].
69 patients (1986-1991) who underwent conventional surgery for chronic pancreatitis (n = 42) or related pseudocysts (n = 27) were analyzed retrospectively. 17 patients underwent partial duodenopancreatectomy (pDPE), 13 pancreaticojejunostomy (PJ), 20 cystojejunostomy (CJ), 9 resection of the left pancreas and 10 other procedures. We evaluated especially time spent in hospital (pDPE:28,5d (mean), PJ:29d, CJ:22,3d, others:28,8d), duration of operation (pDPE:6h, PJ:4,6h, CJ:2,6h, others:2,6h), requirement for blood substitution (pDPE:3,2 units, PJ:3, CJ:0,8, others:1,9), postoperative surgical (pDPE:6%, PJ:15%, CJ:5%, others:29%) and nonsurgical (pDPE:0, PJ:0, CJ:15%, others:14%) complications, and operative mortality (0 in all groups). Conventional surgery for chronic pancreatitis and pseudocysts carries a very low mortality risk but may cause prolonged morbidity in a minority of cases.
Kasperk
R
R
Chirurgische Klinik, RWTH Aachen.
Klever
P
P
Schumpelick
V
V
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003549:Cystic Duct / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D007582:Jejunostomy / Q000379:methods; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000401:mortality / Q000601:surgery*; D010193:Pancreaticojejunostomy / Q000379:methods; D010195:Pancreatitis / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D015996:Survival Rate
Intraoperative Risiken und frühpostoperative Komplikationen in der Chirurgie der chronischen Pankreatitis.