[Risk factors for postoperative pancreatic leakage after D(2) resection of gastric cancer].
OBJECTIVE
To investigate the incidence of pancreatic fistula following D(2) gastrectomy and associated risk factors.


METHODS
A total of 132 consecutive cases of gastric cancer underwent D(2) gastrectomy between Jul 1, 2009 and Dec 2009. Amylase concentration of the drainage fluid and serum amylase concentration were tested on day 1, 4, 7 after operation. Univariate analyses were performed to evaluate the significance of various covariates as risk factors for the pancreatic fistula-related complications.


RESULTS
The incidence of pancreatic fistula was 17.4%. None of the following factors including age, gender, tumor location, tumor stage, N stage, range of resection, fistula output, and serum amylase were associated with pancreatic fistula.


CONCLUSIONS
The incidence of pancreatic fistula following D(2) gastrectomy is high. Drainage tube is necessary to prevent serious complications.
Chen
Wei-dong
WD
Department of General Surgery, Zhongshan Hospital, Fudan University, Fudan University General Surgery Institute, Shanghai 200032, China.
Liu
Feng-lin
FL
Shen
Zhen-bin
ZB
Shen
Kun-tang
KT
Sun
Yi-hong
YH
Qin
Jing
J
Qin
Xin-yu
XY
D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery