Related Experiment Video
Updated: Aug 13, 2026
10:58
Application of End-to-end Anastomosis in Robotic Central Pancreatectomy
Published on: June 2, 2018
Multicentric study on total pancreatectomies
Jose M Ramia1, Elena Martin-Perez2, Ignasi Poves3
1Servicio de Cirugía, Hospital Universitario de Guadalajara, Guadalajara, España.
Cirugia Espanola
|June 6, 2019
Summary
This study analyzed 112 total pancreatectomies (TP) in Spain, finding morbidity and mortality rates comparable or better than existing literature. Further research on specific complications like endocrine insufficiency after TP is needed.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Oncology
- Clinical Outcomes Research
Background:
- Total pancreatectomy (TP) is an uncommon procedure with undefined indications and variable outcomes.
- A national multicentric study was conducted to evaluate TP outcomes and compare them with existing literature.
Purpose of the Study:
- To assess the outcomes of total pancreatectomy (TP) in a national cohort.
- To compare TP results with previously published data.
- To identify common indications and complications associated with TP.
Main Methods:
- A prospective observational study was conducted using data from a national registry.
- 1016 patients undergoing pancreaticoduodenectomy or TP between January 1 and December 31, 2015, were included.
- Data on patient demographics, surgical techniques, postoperative complications, and histological diagnoses were collected.
Main Results:
- 112 patients underwent TP (11% of total cases), with a mean age of 63.5 years and 57.2% males.
- Pancreatic cancer was the most frequent suspected diagnosis (58/112).
- Postoperative complications occurred in 50% of patients within 90 days, with major complications (>IIIA) at 20.7%. 90-day mortality was 8%.
Conclusions:
- TP outcomes in Spain are similar or superior to previous publications regarding morbidity and mortality.
- Further focused studies on specific TP complications, such as endocrine insufficiency, are warranted.
