Pancreatic resections: early results and functional behaviour of the stapled pancreatic stump.
Pancreaticoduodenectomy is the standard surgical treatment for patients with pancreatic head cancer. Morbidity and mortality rates following this procedure have constantly decreased over the past several years. Leakage of the pancreaticoenteric anastomosis is one of the most serious complications, often responsible for a fatal outcome. Several methods for the management of the pancreatic stump have been described in order to reduce the worrisome incidence of this complication, with variable results. In this series, the Authors review their experience of 75 pancreatic resections and analyze the early results and functional behaviour of 6 patients in which the pancreatic stump was stapled without pancreaticoenteric anastomosis.
Santoro
E
E
II Department of Surgery, Regina Elena Institute for Cancer Research, Rome, Italy.
Carboni
E
E
Carlini
M
M
Sacchi
M
M
Lepiane
P
P
Scardamaglia
F
F
Calisti
A
A
Socci
U
U
D000230:Adenocarcinoma / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods*; D002276:Carcinoid Tumor / Q000601:surgery*; D003537:Cystadenoma / Q000601:surgery*; D003920:Diabetes Mellitus / Q000209:etiology; D010188:Exocrine Pancreatic Insufficiency / Q000209:etiology; D005260:Female; D005402:Fistula / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D015994:Incidence; D007583:Jejunum / Q000601:surgery*; D008297:Male; D010179:Pancreas / Q000601:surgery*; D010180:Pancreatectomy / Q000009:adverse effects / Q000706:statistics & numerical data; D010182:Pancreatic Diseases / Q000209:etiology; D010190:Pancreatic Neoplasms / Q000601:surgery*; D010192:Pancreatic Pseudocyst / Q000209:etiology; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000706:statistics & numerical data; D012307:Risk Factors; D013270:Stomach / Q000601:surgery*; D017792:Surgical Stapling