[54 consecutive duodenopancreatectomies without fatality]. / 54 konsekutive Duodenopankreatektomien ohne Letalität.
Dtsch Med Wochenschr
; 119(13): 445-50, 1994 Mar 31.
Article
em De
| MEDLINE
| ID: mdl-7908868
ABSTRACT
Over a five-year period (1.1.89-31.12.93), a duodenopancreatectomy (Whipple's operation) was performed without hospital or 30-day death in 54 consecutive patients (22 women, 32 men; mean age 62 [27-82] years). The postoperative morbidity was 39% (21 of 54 patients). The indications for the operation were malignant tumour (n = 41), mainly ductal adenocarcinoma of the pancreas (n = 30), benign tumour (n = 5) or inflammatory head of the pancreas tumour in chronic pancreatitis (n = 6). A classical Whipple's operation was performed in 36 patients, while the stomach-preserving variant was undertaken in 18. The main complications were postoperative disorders of gastric emptying (n = 13), bleeding (n = 7), abscess (n = 4), leakage at the pancreas anastomosis (n = 3) and pancreatic fistula (n = 2). All complications were successfully overcome by early use of interventional methods or relaparotomy. -The low mortality rate of Whipple's operation (0-5% in selected centres) justifies the use of this operation even in advanced malignancies.
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Pancreáticas
/
Pancreatite
/
Complicações Pós-Operatórias
/
Pancreaticoduodenectomia
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
De
Ano de publicação:
1994
Tipo de documento:
Article