The American Journal of Surgery
Volume 194, Issue 4, Supplement , Pages S16-S19 , October 2007

Pancreatic head resection: the risk for local and systemic complications in 1315 patients—a monoinstitutional experience

  • Hans G. Beger, M.D.

      Affiliations

    • Department of Surgery, University of Ulm, Steinhövelstr 9, D-89079 Ulm, Germany
    • Visceral Surgery, Illertalklinik and Donauklinikum Neu-Ulm, Neu-Ulm, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49-731-5006-9420; fax: +49-731-5006-9421.
    • ,
  • Frank Gansauge, M.D.

      Affiliations

    • Visceral Surgery, Illertalklinik and Donauklinikum Neu-Ulm, Neu-Ulm, Germany
    • ,
  • Michael Schwarz, M.D.

      Affiliations

    • Visceral Surgery, Illertalklinik and Donauklinikum Neu-Ulm, Neu-Ulm, Germany
    • ,
  • Bertram Poch, M.D.

      Affiliations

    • Visceral Surgery, Illertalklinik and Donauklinikum Neu-Ulm, Neu-Ulm, Germany

References 

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  9. Yeo CJ. Management of complications following pancreaticoduodenectomy. Surg Clin North Am. 1995;75:913–924
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  11. van Berge Henegouwen M, de Witt L, van Guilk T, et al. Incidence, risk factors and treatment of pancreatic leakage after a pancreato-duodenectomy: drainage versus resection of pancreatic remnant. J Am Coll Surg. 1997;185:18–25
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  14. Yeo CJ, Cameron JL, Lillemoe KD, et al. Does prophylactic octreotide decrease the rates of pancreatic fistula and other complications after pancreaticoduodenectomy? (Results of a prospective randomized placebo-controlled trial). Ann Surg. 2000;232:419–429
  15. Sohn TA, Yeo CJ, Cameron JL, et al. Resected adenocarcinoma of the pancreas—616 patients: results, outcomes and prognostic indicators. J Gastroint Surg. 2000;4:567–579
  16. Peng S, Mou Y, Liu Y, et al. Binding pancreaticojejunostomy: 150 consecutive cases without leakage. J Gastrointest Surg. 2003;7:898–900
  17. Sarr MG Pancreatic Surgery Group. The potent somatostatin analogue vapreotide does not decrease pancreas-specific complications after elective pancreatectomy: a prospective, multicenter, double-blinded, randomized, placebo-controlled trial. J Am Coll Surg. 2003;196:556–565
  18. Suc B, Msika S, Fingerhut A, et al. Temporary fibrin glue occlusion of the main pancreatic duct in the prevention of intra-abdominal complications after pancreatic resection: prospective randomized trial. Ann Surg. 2003;237:57–65
  19. Traverso LW, Wada K, Shinchi H. A clinically relevant definition of pancreatic anastomotic leak after pancreatico-duodenectomy. Gastroenterology. 2004;56:7–12
  20. Gueroult S, Parc Y, Duron F, et al. Completion pancreatectomy for postoperative peritonitis after pancreaticoduodenectomy: early and late outcome. Arch Surg. 2004;139:16–19
  21. Cullen JJ, Sarr MG, Ustrup DM. Pancreatic anastomotic leak after pancreaticoduodenectomy: incidence, significance and management. Am J Surg. 1994;128:295–298
  22. Ishikawa O, Ohigashi H, Imaoka S, et al. Concomitant benefit of preoperative irradiation in preventing pancreas fistula formation after pancreatoduodenectomy. Arch Surg. 1991;126:885–889
  23. Smith CD, Sarr MG, van Heerden JA. Completion pancreatectomy following pancreaticoduodenectomy: clinical experience. World J Surg. 1992;16:521–528
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  25. Beger HG, Rau B, Gansauge F, Poch B. The risk of pancreatic head resection—a monoinstitutional experience. Los Angeles, CA: Am Pancreatic Club Meeting; 2006;May 21
  26. Turrini O, Moutardier V, Guiramand J, et al. Hemorrhage after duodeopancreatectomy: impact of neoadjuvant radiochemotherapy and experience with sentinel bleeding. World J Surg. 2005;29:212–216

PII: S0002-9610(07)00399-6

doi: 10.1016/j.amjsurg.2007.05.016

The American Journal of Surgery
Volume 194, Issue 4, Supplement , Pages S16-S19 , October 2007

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