Subject(s)
Humans , Male , Aged , Hernia, Diaphragmatic/diagnostic imaging , Carcinoma, Hepatocellular/surgery , HepatectomySubject(s)
Cysts , Liver Diseases , Cysts/diagnostic imaging , Cysts/surgery , Humans , Liver Diseases/diagnostic imagingABSTRACT
INTRODUCTION: Of the possible complications after a cephalic duodenopancreatectomy (CPD), the clinically relevant postoperative pancreatic fistula (PPF) is the most important, especially in patients with pancreas of a soft consistency. The main objective of this work is to analyze the different postsurgical complications, with special emphasis on the rate of PPF on soft pancreas with a risk of moderate/high PPF, and its incidence between the two different types of sutures used by our group (classic vs reinforced duct-mucosa anastomosis [REDMA]). METHODS: Retrospective observational study, between January 2017 and March 2020, of patients undergoing CPD in our unit after applying the inclusion and exclusion criteria. Analysis of preoperative, intraoperative factors and postoperative complications observed during follow-up. RESULTS: Sample of 34 patients; 67.6% (n = 23) of them under the classic protocol and 32.4% (n = 11) with REDMA. The only post-surgical complication in which we obtained statistical repercussion, without differences between cases and controls in terms of the risk of FPP, in favor of the REDMA anastomosis is that of FPP. Thanks to this surgical innovation, both the complications from stage IIIb, according to the Clavien-Dindo classification, and the mean hospital stay have also been reduced with statistical significance. CONCLUSIONS: When REDMA reduces the rate of PPF in patients with moderate/high surgical risk of it, we consider it to be a useful alternative to consider in the reconstruction of transit after CPD.
Subject(s)
Pancreatic Fistula , Pancreaticoduodenectomy , Anastomosis, Surgical/adverse effects , Humans , Mucous Membrane , Pancreas/surgery , Pancreatic Fistula/etiology , Pancreaticoduodenectomy/adverse effectsSubject(s)
Humans , Male , Female , Aged , Pancreaticoduodenectomy/adverse effects , Pancreatic Fistula/prevention & control , Anastomosis, Surgical/methods , Pancreatic Diseases/surgery , Pancreatic Fistula/etiology , Retrospective Studies , Surgical Procedures, Operative/methods , Postoperative ComplicationsABSTRACT
INTRODUCTION: Of the possible complications after a cephalic duodenopancreatectomy (CPD), the clinically relevant postoperative pancreatic fistula (PPF) is the most important, especially in patients with pancreas of a soft consistency. The main objective of this work is to analyze the different postsurgical complications, with special emphasis on the rate of PPF on soft pancreas with a risk of moderate/high PPF, and its incidence between the two different types of sutures used by our group (classic vs reinforced duct-mucosa anastomosis [REDMA]). METHODS: Retrospective observational study, between January 2017 and March 2020, of patients undergoing CPD in our unit after applying the inclusion and exclusion criteria. Analysis of preoperative, intraoperative factors and postoperative complications observed during follow-up. RESULTS: Sample of 34 patients; 67.6% (n = 23) of them under the classic protocol and 32.4% (n = 11) with REDMA. The only post-surgical complication in which we obtained statistical repercussion, without differences between cases and controls in terms of the risk of FPP, in favor of the REDMA anastomosis is that of FPP. Thanks to this surgical innovation, both the complications from stage IIIb, according to the Clavien-Dindo classification, and the mean hospital stay have also been reduced with statistical significance. CONCLUSIONS: When REDMA reduces the rate of PPF in patients with moderate/high surgical risk of it, we consider it to be a useful alternative to consider in the reconstruction of transit after CPD.
ABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Autolysis , Gastrointestinal Hemorrhage/diagnostic imaging , Laparotomy/methods , Gastrointestinal Tract/diagnostic imaging , Gastrointestinal Hemorrhage/surgery , Foreign Bodies/surgery , Endoscopy, Gastrointestinal/methods , Gastrointestinal Tract/injuries , Gastrointestinal Tract/surgeryABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Pancreatitis/complications , Pancreatitis/surgery , Pancreatitis , Jaundice, Obstructive/complications , Jaundice, Obstructive , Tomography, Emission-Computed/methods , Tomography, Emission-Computed/trends , Immunosuppressive Agents/therapeutic use , Adrenal Cortex Hormones/therapeutic use , Pancreatitis/pathology , Endoscopy/methods , Endoscopy , Constriction, Pathologic/surgery , Constriction, Pathologic , Common Bile Duct/pathology , Common Bile Duct/surgery , Common Bile Duct , Biomarkers, Tumor/analysisABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Liver/physiopathology , Brucellosis/physiopathology , Liver Neoplasms/physiopathology , Liver Neoplasms/surgery , Brucellosis/complications , Brucellosis/drug therapy , Liver/injuries , Diagnosis, Differential , C-Reactive Protein/therapeutic use , Drainage/methodsABSTRACT
No disponible