The Preoperative CT-Scan Can Help to Predict Postoperative Complications after Pancreatoduodenectomy
Joint Authors
Slump, Cees
Schröder, Femke F.
de Graaff, Feike
Bouman, Donald E.
Brusse-Keizer, Marjolein
Klaase, Joost M.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-29
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
After pancreatoduodenectomy, complication rates are up to 40%.
To predict the risk of developing postoperative pancreatic fistula or severe complications, various factors were evaluated.
110 consecutive patients undergoing pancreatoduodenectomy at our institute between January 2012 and September 2014 with complete CT scan were retrospectively identified.
Pre-, per-, and postoperative patients and pathological information were gathered.
The CT-scans were analysed for the diameter of the pancreatic duct, attenuation of the pancreas, and the visceral fat area.
All data was statistically analysed for predicting POPF and severe complications by univariate and multivariate logistic regression analyses.
The POPF rate was 18%.
The VFA measured at umbilicus (OR 1.01; 95% CI = 1.00–1.02; P=0.011) was an independent predictor for POPF.
The severe complications rate was 33%.
Independent predictors were BMI (OR 1.24; 95% CI = 1.10–1.42; P=0.001), ASA class III (OR 17.10; 95% CI = 1.60–182.88; P=0.019), and mean HU (OR 0.98; 95% CI = 0.96–1.00; P=0.024).
In conclusion, VFA measured at the umbilicus seems to be the best predictor for POPF.
BMI, ASA III, and the mean HU of the pancreatic body are independent predictors for severe complications following PD.
American Psychological Association (APA)
Schröder, Femke F.& de Graaff, Feike& Bouman, Donald E.& Brusse-Keizer, Marjolein& Slump, Cees& Klaase, Joost M.. 2015. The Preoperative CT-Scan Can Help to Predict Postoperative Complications after Pancreatoduodenectomy. BioMed Research International،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1056878
Modern Language Association (MLA)
Schröder, Femke F.…[et al.]. The Preoperative CT-Scan Can Help to Predict Postoperative Complications after Pancreatoduodenectomy. BioMed Research International No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1056878
American Medical Association (AMA)
Schröder, Femke F.& de Graaff, Feike& Bouman, Donald E.& Brusse-Keizer, Marjolein& Slump, Cees& Klaase, Joost M.. The Preoperative CT-Scan Can Help to Predict Postoperative Complications after Pancreatoduodenectomy. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1056878
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1056878