Reoperation following Pancreaticoduodenectomy
Joint Authors
Pottakkat, B.
Gupta, A. K.
Saxena, R.
Prakash, A.
Singh, R. K.
Reddy, J. R.
Kapoor, V. K.
Behari, A.
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-09-12
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Introduction.
The literature on reoperation following pancreaticoduodenectomy is sparse and does not address all concerns.
Aim.
To analyze the incidence, causes, and outcome of patients undergoing reoperations following pancreaticoduodenectomy.
Methods.
Retrospective analysis of 520 consecutive patients undergoing pancreaticoduodenectomy from May 1989 to September 2010.
Results.
96 patients (18.5%) were reoperated; 72 were early, 18 were late, and 6 underwent both early and late reoperations.
Indications for early reoperation were post pancreatectomy hemorrhage in 53 (68%), pancreatico-enteric anastomotic leak in 10 (13%), hepaticojejunostomy leak in 3 (3.8%), duodenojejunostomy leak in 4 (5%), intestinal obstruction in 1 (1.2%) and miscellaneous causes in 7 (9%).
Patients reoperated early did not fare poorly on long-term follow up.
Indications for late reoperations were complications of index surgery (n = 12), recurrence of the primary disease (n = 8), complications of adjuvant radiotherapy (n = 3), and gastrointestinal bleed (n = 1).
The median survival of 16 patients reoperated late without recurrent disease was 49 months.
Conclusion.
Early reoperations following pancreaticoduodenectomy, commonly for post pancreatectomy hemorrhage, carries a high mortality due to associated sepsis, but has no impact on long-term survival.
Long-term complications related to pancreaticoduodenectomy and adjuvant radiotherapy can be managed successfully with good results.
American Psychological Association (APA)
Reddy, J. R.& Saxena, R.& Singh, R. K.& Pottakkat, B.& Prakash, A.& Behari, A.…[et al.]. 2012. Reoperation following Pancreaticoduodenectomy. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-455477
Modern Language Association (MLA)
Reddy, J. R.…[et al.]. Reoperation following Pancreaticoduodenectomy. International Journal of Surgical Oncology No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-455477
American Medical Association (AMA)
Reddy, J. R.& Saxena, R.& Singh, R. K.& Pottakkat, B.& Prakash, A.& Behari, A.…[et al.]. Reoperation following Pancreaticoduodenectomy. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-455477
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-455477