title: [EARLY COMPLICATIONS IN PATIENTS, OPERATED FOR NEUROENDOCRINE TUMORS OF PANCREATIC GLAND].
abstract: Early complications, which have had occurred in 154 patients, operated for neuroendocrine pancreatic tumors (NET), were analyzed. Operative interventions on pancreatic gland were performed in 138 (87.1%) patients, including the resectional interventions --in 82 (59.4%), and the organ-preserving--in 56 (40.6%). The external pancreatic fistula formation have had constituted the most frequent complication. In accordance to data of univariate and multivariate analysis done, investigating impact of prognostic factors of the operations performed on the postoperative surgical complications occurrence, the most significant factor in organ-preserving operations is the distance from the tumor to pancreatic duct, and in the resectional operations--low density of pancreatic tissue. Application of the elaborated diagnostic-treatment algorithm have permitted to reduce trustworthy a general rate of complications in the patients, operated on for the pancreatic NET, from 36.8 to 15%, in the resectional operative interventions--from 30 to 11.3%, and in the organ-preserving--from 44.4 to 21%.
authors.forename: V P
authors.initials: VP
authors.lastname: Shkarban
mesh_terms: D000328:Adult; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D018358:Neuroendocrine Tumors / Q000473:pathology / Q000601:surgery*; D010179:Pancreas / Q000473:pathology / Q000601:surgery; D010180:Pancreatectomy / Q000379:methods*; D010185:Pancreatic Fistula / Q000209:etiology / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000473:pathology*; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome