Document Detail

Risk factors for mortality and intra-abdominal morbidity after distal pancreatectomy.
MedLine Citation:
PMID:  15674199     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The purpose of this study was to analyze the short-term outcome and to determine risk factors after distal pancreatectomy (DP). METHODS: This prospective single-center study included 61 patients undergoing DP with splenic preservation in 6 (10%). The diagnoses included pancreatic adenocarcinoma (n = 9), neuroendocrine neoplasms (n = 17), benign neoplasm (n = 26), pseudocyst (n = 4), chronic pancreatitis (n = 2), and other diagnoses (n = 3). Twelve clinical factors were studied. The chi-square test was used for univariate analysis. RESULTS: The median duration of the postoperative hospital stay was 10 days (range, 5-155 days). Two patients (3%) died postoperatively; 12 patients (20%) had one or more intra-abdominal complications with reoperation necessary in 3 patients (5%): 6 pancreatic fistula (10%), 11 intra-abdominal collections (18%), 1 postoperative hemorrhage (2%). Univariate analysis showed that a body mass index >25 kg/m 2 was the only risk factor for intra-abdominal complication ( P = .003). CONCLUSIONS: DP is associated with an intra-abdominal morbidity rate of 20%, which is increased for patients with a body mass index >25 kg/m 2 .
J F Sledzianowski; J P Duffas; F Muscari; B Suc; F Fourtanier
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  137     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-01-27     Completed Date:  2005-03-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  180-5     Citation Subset:  AIM; IM    
Service de Chirurgie Digestive, CHU Rangueil, 1 Avenue J. Poulhès, 31043 Toulouse, France.
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MeSH Terms
Aged, 80 and over
Middle Aged
Pancreatectomy / adverse effects*,  methods,  mortality*
Pancreatic Fistula / etiology
Pancreatic Neoplasms / surgery
Pancreatitis / surgery
Postoperative Complications / etiology,  mortality
Prospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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