title: Contemporary single-center surgical experiences in redo procedures of the pancreas: improved outcome and reduction of operative risk.
abstract: BACKGROUND
  Redo procedures of the pancreas are complex operations associated with significant morbidity and mortality rates. The operative risk may be minimised when indications for redo procedure are well reflected and operation is performed by an experienced surgeon. The aim of this study was to confirm this hypothesis evaluating our experiences with redo procedures.
  
  
  METHODS
  We reviewed 28 patients (mean age of 54 years; range 11-75 years) undergoing a redo procedure of the pancreas from January 2004 to June 2008 at our hospital. The term redo procedure was defined as a pancreatic reoperation that was carried out after preceding pancreatic surgery. Relaparotomies following acute complications after pancreatic surgery were not taken into consideration.
  
  
  RESULTS
  The following parameters were evaluated: median operative time 332 min (range 160-730 min), median intraoperative blood loss 625 ml (range 300-2,800 ml), median postoperative stay on Intensive Care Unit 20 h (range 0-112 h), median postoperative hospital stay 15 days (range 7-98), morbidity (14%), and mortality (3.6%).
  
  
  CONCLUSIONS
  Redo procedures of the pancreas can be performed with low complication rates. In order to achieve a satisfactory outcome, the indication of redo procedures has to be well reflected, and operation may be performed by specialised and experienced surgeons.
authors.affiliation: Department of General Surgery, St. Josef-Hospital, Ruhr University Bochum, Gudrunstrasse 56, 44791, Bochum, Germany.
authors.forename: Sabine
authors.initials: S
authors.lastname: Kersting
authors.forename: Monika Silvia
authors.initials: MS
authors.lastname: Janot
authors.forename: Ansgar Michael
authors.initials: AM
authors.lastname: Chromik
authors.forename: Dominique
authors.initials: D
authors.lastname: Suelberg
authors.forename: Waldemar
authors.initials: W
authors.lastname: Uhl
authors.forename: Matthias Hartmut
authors.initials: MH
authors.lastname: Seelig
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011379:Prognosis; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D055815:Young Adult