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Subtotal pancreatectomy for cancer: closure of the pancreatic remnant with staplers

Ahrén, B; Tranberg, KG; Andrén-Sandberg, A; Bengmark, S; (1990) Subtotal pancreatectomy for cancer: closure of the pancreatic remnant with staplers. HPB Surgery , 2 (1) 29 - 35. 10.1155/1990/73475. Green open access

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Abstract

This paper presents a 2-year series of 26 consecutive pancreatectomies for periampullary cancer where the pancreatic tail was closed with a stapler in order to avoid complications related to a pancreatico-digestive anastomosis. The follow-up period was 14 months or more. Seven patients developed operative complications. Pancreatic fistulas developed in 3 patients. The fistulas closed spontaneously in 2 of the patients after 2-4 months. Intraabdominal abscesses developed in 4 patients and required surgical drainage. In 1 of these patients, the abscess eroded a large vessel with a fatal outcome resulting in an operative mortality rate of 3.8%. A transient postoperative gastric stasis was observed in seven patients. Postoperative hospital median stay was 27 days (range 10-83 days). Eighteen patients have died after 4-30 months in recurrent disease and seven patients are alive after a follow-up period of 15-29 months. Pancreatic endocrine function seemed well preserved; diabetes mellitus has developed in only one patient. In conclusion, it appears that subtotal pancreatectomy with closure of the pancreatic remnant with staples gives a low morbidity and mortality. Although the conclusion should be tempered by the small number of patients, the results justify continued evaluation of this technique with long-term follow-up.

Type: Article
Title: Subtotal pancreatectomy for cancer: closure of the pancreatic remnant with staplers
Location: SWITZERLAND
Open access status: An open access version is available from UCL Discovery
DOI: 10.1155/1990/73475
Publisher version: http://dx.doi.org/10.1155/1990/73475
Language: English
Additional information: Copyright © 1990 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Adult, Aged, Aged, 80 and over, Carcinoma, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pancreatectomy, Pancreatic Neoplasms, Postoperative Complications, Surgical Staplers
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/1313791
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