Multicentric study on total pancreatectomies
Por:
Ramia, J, Martin-Perez, E, Poves, I, Fabregat-Prous, J, Olea, J, Sanchez-Bueno, F, Botello-Martinez, F, Briceno, J, Miyar-de Leon, A, Serradilla, M, Moya-Herraiz, A, Secanella, L, Bueno, F, Serrablo, A, Fabrega, J, Cabus, S, Bravo, M, Padillo, J, Blanco, L, Balcells, J, Cugat, E, Domingo, M, Bellvis, L, Diaz, M, Santoyo, J, Sanchez, B, Georgiev, T, Villegas, T, Pacho, S, Valladares, L, Rebollar, J, Munoz, M, Dominguez, E, Falgueras, L, Artigas, V, Sabater, L, Gil, A, de Llama, J, Manzanet, G, Pino, J, Sanjuan, J, Lluis F, Ausania, F, Zuloaga, M, Escartin, J, Salas, M, Domingo, C, de Rojas, E, Mateos, J, Cebrian, J, Cabrera, B, Valverde, D, Sanjuanbenito, A, Belmonte, I, Bejarano, N, Borobia, F, Guinea, P, Marcano, A, Arana, F, Varo, E, Esteban, R, Blas, J, Navalon, J, Martinez, C, Collado, E, Duran, A, Vicens, J, Romero, J, Badia, J, Sanchez, R, Ibanez, R, Pardo, F, von Hunefeld, C, Pereira, F, Molina, F, Prieto, I, Poza, A, Gilsanz, C, Albert, J, Morcillo, M, Cortijo, S, Fernandez, J, Baquedano, J, Castell, J, Aguilo, J, Bernal, J and Grp Hosp Participantes
Publicada:
1 ago 2019
Ahead of Print:
1 jun 2019
Categoría:
Surgery
Resumen:
Introduction: Total pancreatectomy (TP) is an uncommon operation, with indications that have not been clearly defined and non-standardized postoperative results. We present a national multicentric study on TP and a comparison with the existing literature
Methods: A prospective observational study using data from the national registry of patients after pancreaticoduodenectomy and TP performed for any indication during the study period: January 1 to December 31, 2015
Results: 1016 patients were included from 73 hospitals, 112 of whom had undergone TP. The percentage of TP from the total number of cases was 11%. The mean age was 63.5 years, and 57.2% were males. The most frequently suspected radiological diagnosis was pancreatic cancer (58/112 cases). The most common TP technique was "mesentery artery first" (43/112 cases). Venous resections were performed in 23 patients (20.5%). The percentage of postoperative complications within 90 days was 50%, but major complications (>IIIA) were only 20.7%. The overall 90-day mortality was 8% (9 patients). The average stay was 20.7 days. The 3 most frequent definitive histological diagnoses were: adenocarcinoma of the pancreas, intraductal papillary mucinous neoplasm and chronic pancreatitis. The R0 rate was 67.8%.
Conclusions: This study shows that the morbidity and mortality results of TP in Spain are similar or superior to previous publications. More precise TP studies are necessary, focused on specific complications such as endocrine insufficiency. (C) 2019 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.
Open Access
FULL TEXT
 |
Published Version |
This policy does not allow for Open Access for this version |
| No Accesible |
|