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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.
Cirugia Espanola
|April 2, 2013
Summary
Pancreatic resection surgery has a high rate of complications, but mortality is low. Older patients (over 70) face the highest mortality risk following pancreatic resection.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Clinical Research
Context:
- Pancreatic and periampullary tumors necessitate surgical intervention.
- Pancreatic resection is a complex procedure with potential for significant morbidity.
Purpose:
- To evaluate the postoperative morbidity and mortality rates associated with pancreatic resection.
- To identify factors correlating with mortality after pancreatic resection.
Summary:
- This prospective study analyzed 117 patients undergoing pancreatic resection, reporting an overall morbidity of 48.7%.
- Common complications included intra-abdominal abscesses and medical issues. Pancreatic fistula rates were 9.83% (cephalic) and 10% (distal).
- Overall mortality was 5.12%, with postoperative complications, reintervention, and age over 70 significantly linked to mortality.
Impact:
- Highlights the significant morbidity associated with pancreatic resections.
- Identifies age over 70 as a critical risk factor for mortality.
- Informs clinical decision-making and patient counseling regarding pancreatic surgery outcomes.