Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 17 iunie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English
British Flag| Romana Romanian Flag
 
Creditare EMC
Colegiul Medicilor
Va invitam sa va inregistrati/abonati la Jurnalul de chirurgie pentru a beneficia de creditare EMC
User

Parola

Tine minte
Ti-ai uitat parola?
Syndicate

Advertisement

Elmed

Estima

Liamed

Listare E-mail

NUMARUL 3, VOL. 1, 2005

MULTIMEDIA

PANCREATICODUODENECTOMY - THE PREVENTION OF THE PANCREATIC STUMP COMPLICATIONS
C. Gouillat
Department of Surgery, C.H.U. Hotel Dieu, Lyon, France
University Claude Bernard, Lyon I
Jurnalul de chirurgie 2005; 1 (3):334-339
Full text:Format Multimedia - HTML, Format PDF (French)

Abstract:

The morbidity after pancreaticoduodenectomy is very high. Different complications determined by pancreatic stump can appear: pancreatic leak (23.4%), acute pancreatitis (2.9%), hemorrhage etc. The postoperative complications rate depends by some factors: anastomosis technique (end to end, end to side, duct to mucosis), type of pancreatico-digestive anastomosis (pancreatico-jejunal or pancreatico-gastric anastomosis), the drainage of the pancreatic duct, octreotide therapy. Material and methods: 51 pancreaticoduodenectomies were performed from 1994 to 2004. In all cases we also performed a duct to mucosis pancreatico-jejunostomy. In 45 cases we made a personal type of drainage of the pancreatic duct. Octreotide was given to 32 patients. Overall postoperative morbidity was 33% with only one pancreatic fistula (2%). Mean hospital stay was 20 days and postoperative mortality was 4%. Conclusions: The drainage of the pancreatic duct and an octreotide therapy are necessary when we appreciate a high risk pancreatic stump (soft pancreas, pancreatic duct smaller then 3 mm).

KEYWORDS: PANCREATICODUODENECTOMY, PANCREATIC CANCER, PERIAMPULLARY TUMOR

Correspondence: Prof. Dr. Christian Gouillat, Département de chirurgie, Hotel Dieu, 1 place de l'Hôpital, 69288 LYON CEDEX 02, C.H.U. Lyon, France;
e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.