Korean J Hepatobiliary Pancreat Surg.  2011 Nov;15(4):243-247. 10.14701/kjhbps.2011.15.4.243.

Complication analysis of distal pancreatectomy based on early personal experience

Affiliations
  • 1Department of Surgery, Postgraduate School of Medicine, Pusan National University, Busan, Korea. seohi71@hanmail.net

Abstract

BACKGROUNDS/AIMS
The objective of this study was to evaluate the relationship between initial personal experiences with distal pancreatectomy and perioperative risk factors, outcomes, and management of pancreatic fistulas.
METHODS
Between May, 2007 and May, 2010, a total of 28 patients who had undergone elective distal pancreatectomy were evaluated for this study. Perioperative factors and the occurrence of pancreatic fistula were analyzed on the basis of International Study Group of Pancreatic Fistula (ISGPF) criteria.
RESULTS
There were sixteen cases of benign neoplasms and twelve cases of malignant tumors. The remnant pancreas was manually sutured with ligation of the pancreatic duct (n=14), auto-suture stapling along with manual sutures (n=12), or stapling alone (n=2). According to the ISGPF classification, morbidity and mortality associated with pancreatic fistulas was 42.9% (n=12) and 0%, respectively. These pancreatic fistulae were classified as grade A in 8 cases (28.6%), grade B in 3 cases (10.7%), and grade C in one case (3.6%). All patients with pancreatic fistula were treated conservatively.
CONCLUSIONS
Perioperative factors do not affect the risk of pancreatic fistula. Adequate drainage is the most effective method for management of a pancreatic fistula after distal pancreatectomy.

Keyword

Distal pancreatectomy; Pancreatic fistula; Complication; Leak
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