Journal ArticleDOI
Postoperative pancreatic fistula
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TLDR
The present review summarises the currently available data on incidence, risk factors, fistula-associated complications and management of postoperative pancreatic fistula.Abstract:
Postoperative pancreatic fistula is an important complication after pancreatic resection. The frequency of its incidence varies between 3% after pancreatic head resections and up to 30% following distal pancreatectomy. In recent years, the international definition of pancreatic fistula has been standardised according to the approach of the International Study Group on Pancreatic Fistula (ISGPF). Consequently, results from different studies have become comparable and the historically reported fistula rates can be evaluated more critically. The present review summarises the currently available data on incidence, risk factors, fistula-associated complications and management of postoperative pancreatic fistula.read more
Citations
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Journal ArticleDOI
A prospectively validated clinical risk score accurately predicts pancreatic fistula after pancreatoduodenectomy.
TL;DR: In this article, the authors developed a risk prediction tool for post-operative pancreatic fistula (CR-POPF) that features intraoperative assessment and reveals associated clinical and economic significance.
Journal ArticleDOI
Short-term clinical outcomes for 100 consecutive cases of laparoscopic pylorus-preserving pancreatoduodenectomy: improvement with surgical experience
Song C. Kim,K.B. Song,Yong S. Jung,Young Ho Kim,Do Hyun Park,Sang S. Lee,Dong W. Seo,Sung K. Lee,Myung Hee Kim,Kwang M. Park,Young Jik Lee +10 more
TL;DR: The LPPPD procedure is technically safe and feasible, with an acceptable rate of morbidity and other clinical outcomes for benign and malignant diseases, and clinical outcomes can be improved once a learning curve has been overcome.
Journal ArticleDOI
A Multi-Institutional External Validation of the Fistula Risk Score for Pancreatoduodenectomy
Benjamin C. Miller,John D. Christein,Stephen W. Behrman,Jeffrey A. Drebin,Wande B. Pratt,Mark P. Callery,Charles M. Vollmer +6 more
TL;DR: This multi-institutional experience confirms the Fistula Risk Score as a valid tool for predicting the development of CR-POPF after PD and is validated as a strongly predictive tool, with widespread applicability, which can be readily incorporated into common clinical practice and research analysis.
Journal ArticleDOI
Single-center experience of laparoscopic left pancreatic resection in 359 consecutive patients: changing the surgical paradigm of left pancreatic resection
Ki Byung Song,Song Cheol Kim,Jae Berm Park,Young Hoon Kim,Young Soo Jung,Myung-Hwan Kim,Sung-Koo Lee,Dong Wan Seo,Sang Soo Lee,Do Hyun Park,Duck Jong Han +10 more
TL;DR: The increased use of LDP for left-sided pancreatic lesions, including malignant lesions, represents a paradigm shift from open distal pancreatectomy.
Journal ArticleDOI
Systematic review of central pancreatectomy and meta-analysis of central versus distal pancreatectomy
Calogero Iacono,Giuseppe Verlato,Andrea Ruzzenente,Tommaso Campagnaro,Claudio Bacchelli,Alessandro Valdegamberi,Luca Bortolasi,Alfredo Guglielmi +7 more
TL;DR: The aim of this review was to evaluate the short‐ and long‐term surgical results of CP from all published studies, and the results of comparative studies of CP versus distal pancreatectomy (DP).
References
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Journal ArticleDOI
Postoperative pancreatic fistula: an international study group (ISGPF) definition.
Claudio Bassi,Christos Dervenis,Giovanni Butturini,Abe Fingerhut,Charles J. Yeo,Jakob R. Izbicki,John P. Neoptolemos,Michael G. Sarr,William Traverso,M.W. Büchler +9 more
TL;DR: In this article, an international panel of pancreatic surgeons, working in well-known, high-volume centers, reviewed the literature on the topic and worked together to develop a simple, objective, reliable, and easy-to-apply definition of postoperative pancreatic fistula, graded primarily on clinical impact.
Special article Postoperative pancreatic fistula: An international study group (ISGPF) definition
Claudio Bassi,Christos Dervenis,Giovanni Butturini,Abe Fingerhut,Jakob R. Izbicki,John P. Neoptolemos,Michael G. Sarr,William Traverso,M.W. Büchler +8 more
TL;DR: The present definition and clinical grading of POPF should allow realistic comparisons of surgical experiences in the future when new techniques, new operations, or new pharmacologic agents that may impact surgical treatment of pancreatic disorders are addressed.
Journal ArticleDOI
Delayed gastric emptying (DGE) after pancreatic surgery: A suggested definition by the International Study Group of Pancreatic Surgery (ISGPS)
Moritz N. Wente,Claudio Bassi,Christos Dervenis,Abe Fingerhut,Dirk J. Gouma,Jakob R. Izbicki,John P. Neoptolemos,Robert Padbury,Michael G. Sarr,L. William Traverso,Charles J. Yeo,Markus W. Büchler +11 more
TL;DR: The International Study Group of Pancreatic Surgery (ISGPS) developed an objective and generally applicable definition with grades of delayed gastric emptying (DGE) based primarily on severity and clinical impact as discussed by the authors.
Journal ArticleDOI
Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition.
Moritz N. Wente,Johannes A. Veit,Claudio Bassi,Christos Dervenis,Abe Fingerhut,Dirk J. Gouma,Jakob R. Izbicki,John P. Neoptolemos,Robert Padbury,Michael G. Sarr,Charles J. Yeo,Markus W. Büchler +11 more
TL;DR: An objective, universally accepted definition and clinical grading of PPH is important for the appropriate management and use of interventions in PPH and would allow comparisons of results from future clinical trials.
Journal ArticleDOI
Assessment of complications after pancreatic surgery: A novel grading system applied to 633 patients undergoing pancreaticoduodenectomy.
Michelle L. DeOliveira,Jordan M. Winter,Markus Schäfer,Steven C. Cunningham,John L. Cameron,Charles J. Yeo,Charles J. Yeo,Pierre-Alain Clavien +7 more
TL;DR: This novel approach may provide a standardized, objective, and reproducible assessment of pancreas surgery enabling meaningful comparison among centers and over time, and demonstrates the applicability and utility of a new classification in grading complications following pancreatic surgery.