Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2020  |  Volume : 39  |  Issue : 3  |  Page : 677-681

Subtotal pancreatectomy in risky patients with periampullary cancers: new surgical center experience


1 Unit of Hepatobiliary Surgery, Department of General Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt
2 Department of Anesthesia and Intensive Care, Assiut University, Assiut, Egypt
3 Department of Tropical Medicine and Gastroenterology, Al Rajhi Liver University Hospital, Faculty of Medicine, Assiut, Egypt

Correspondence Address:
MD Sahar M Hassany
Department of Tropical Medicine and Gastroenterology, 7th Floor, Alrajhi University Hospitals, Assiut 71111
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejs.ejs_44_20

Rights and Permissions

Background The pancreatic leak is the most dangerous complication postpancreaticoduodenectomy. There are many risk factors for the development of pancreatic fistula (PF) such as texture of the pancreas and its duct size. The aim was to decrease the incidence of PF in these risky patients. Patients and methods A retrospective study was performed on 20 periampullary tumors patients treated by subtotal pancreatectomy between April 2015 and September 2017, which were performed in Assiut Al Rajhi Liver Hospital. Subtotal pancreatectomy was performed in patients with soft pancreas which could not hold stitches and small duct size of less than 3 mm. Also, the authors follow the results of postoperative pancreatic leakage, other morbidity and mortality. Results A PF type A developed in three cases and did not require any further management, one case developed PF type B who also developed delayed gastric emptying and improved after 3 months; one case of abdominal abscess was managed by insertion of pig tail; two cases of wound infection improved by repeated dressing; the mean hospital stay was 7 days except for the patient who developed PF type B and delayed gastric emptying whose hospital stay was prolonged to 1 month; the mortality rate was one case, who was a female patient of 70 years old and died by myocardial infarction 1 week postoperatively. Conclusion Subtotal pancreatectomy with stapling can be done safely in risky patients to decrease the incidence of PF, but further large randomized trials are needed.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed206    
    Printed2    
    Emailed0    
    PDF Downloaded23    
    Comments [Add]    

Recommend this journal