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Related Experiment Video

Updated: Mar 22, 2026

Application of Mid-Pancreatectomy with End-to-End Anastomosis in Pancreatic Benign Tumors
02:20

Application of Mid-Pancreatectomy with End-to-End Anastomosis in Pancreatic Benign Tumors

Published on: February 9, 2024

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Fifty consecutive pancreatectomies without mortality.

Enio Campos Amico1, Élio José Silveira da Silva Barreto1, José Roberto Alves1

  • 1Hospital Universitário Onofre Lopes, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.

Revista Do Colegio Brasileiro De Cirurgioes
|April 21, 2016
PubMed
Summary

Pancreatic resection, a complex surgery, achieved zero mortality in this Brazilian study. Experienced teams can successfully perform these procedures, even outside major specialized centers, demonstrating improved patient outcomes.

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Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Clinical Outcomes

Background:

  • Pancreatic resection remains a challenging surgical procedure.
  • High mortality rates are often associated with pancreatic resections, particularly outside specialized centers.

Purpose of the Study:

  • To report the outcomes of a series of pancreatic resections performed by an experienced team.
  • To demonstrate the feasibility of achieving null mortality rates in pancreatic surgery.

Main Methods:

  • A prospective study of 50 consecutive patients undergoing pancreatic resection for peri-ampullary or pancreatic diseases.
  • In-hospital mortality was defined as death within 90 postoperative days.
  • Complications were assessed based on international criteria.

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Last Updated: Mar 22, 2026

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817
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Main Results:

  • The study included patients aged 16-90 years, with 66% having peri-ampullary tumors.
  • The Kausch-Whipple operation was the most common procedure (70%).
  • While 44% of patients had no clinical complications, the most frequent issues were pancreatic fistula (56%) and delayed gastric emptying (17.1%).

Conclusions:

  • Pancreatic resection can be performed with null mortality by experienced teams.
  • These findings suggest that specialized centers are not the only setting for successful pancreatic surgery.
  • The study highlights the potential for achieving favorable outcomes in pancreatic resections in Brazil.