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[Morbidity and mortality in pancreatic resection]
Elías Dominguez-Comesaña1, Francisco Javier Gonzalez-Rodriguez, José Luis Ulla-Rocha
1Unidad de Cirugía Hepatobiliar y Pancreática, Servicio de Cirugía, Complejo Hospitalario de Pontevedra, Pontevedra, España.
Aim:
Assess the postoperative morbidity rates in pancreatic resection.
Material And Method:
Prospective observational study which includes 117 patients who underwent surgery consecutively due to pancreatic or periampullary tumours. In 61 of the patients, cephalic pancreatectomy was carried out; 15 underwent total pancreatectomy; one underwent enucleation and 40 underwent distal pancreatectomy.
Results:
Overall morbidity was 48.7% (59% for cephalic pancreatectomy, 35% for distal pancreatectomy and 46.7% for total pancreatectomy). The most frequent complications were intra-abdominal abscesses and collections (15.38%) and medical complications (13.68%). The incidence of pancreatic fistula was 9.83% for cephalic pancreatectomy and 10% for distal pancreatectomy. The reintervention incidence was 14.53%. Overall mortality was 5.12% (6.56% for cephalic pancreatectomy, 2.5% for distal pancreatectomy and 6.67% for total pancreatectomy). The presence of postoperative complications, the need for reintervention and the fact of being over 70 years of age correlated significantly with mortality.
Discussion:
Pancreatic resection has high morbidity rates. Mortality is low and is practically limited to patients older than 70 years.
