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Updated: Feb 6, 2026
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Management of the Uncinate Process in No-Touch Laparoscopic Pancreaticoduodenectomy
Published on: May 5, 2023
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[Complications after pancreaticoduodenectomy]
Laureano Fernández-Cruz1, Luis Sabater, Joan Fabregat
1Hospital Clínic de Barcelona, Barcelona, España. lfcruz@clinic.ub.es
Cirugia Espanola
|November 1, 2011
Summary
This review analyzes common complications following pancreaticoduodenectomy, including delayed gastric emptying, pancreatic fistula, and bleeding. It evaluates evidence on defining, grading, and treating these frequent post-operative issues.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Oncology
- Clinical Medicine
Context:
- Pancreaticoduodenectomy is a complex surgical procedure with significant potential for complications.
- Locally advanced pancreatic cancer often necessitates complex surgical approaches, including vascular reconstruction.
- Effective management of post-operative complications is crucial for patient outcomes.
Purpose:
- To systematically review and analyze the most frequent complications encountered after pancreaticoduodenectomy.
- To evaluate existing evidence regarding the definition, clinical severity grading, and treatment strategies for these complications.
- To synthesize findings from randomized prospective studies, meta-analyses, and clinical guidelines.
Summary:
- The review focuses on common post-pancreaticoduodenectomy complications: delayed gastric emptying, pancreatic fistula, and post-operative bleeding.
- Special attention is given to complications arising from vascular reconstruction in cases of locally extended pancreatic cancer.
- Evidence from high-quality studies and guidelines was assessed to understand complication management.
Impact:
- Provides a consolidated overview of critical complications following pancreaticoduodenectomy.
- Informs clinical practice by summarizing current evidence on complication definition, grading, and treatment.
- Aims to improve patient care and outcomes by highlighting key areas for vigilance and intervention.
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