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Potrc S, Ivanecz A, Pivec V, et al. Impact Factors for Perioperative Morbidity and Mortality and Repercussion of Perioperative Morbidity and Long-term Survival in Pancreatic Head Resection. Radiol Oncol. 2017;52(1):54-64doi: 10.1515/raon-2017-0036.
Potrc, S., Ivanecz, A., Pivec, V., Marolt, U., Rudolf, S., Iljevec, B., & Jagric, T. (2018). Impact Factors for Perioperative Morbidity and Mortality and Repercussion of Perioperative Morbidity and Long-term Survival in Pancreatic Head Resection. Radiology and oncology, 52(1), 54-64. https://doi.org/10.1515/raon-2017-0036
Potrc, Stojan, et al. "Impact Factors for Perioperative Morbidity and Mortality and Repercussion of Perioperative Morbidity and Long-term Survival in Pancreatic Head Resection." Radiology and oncology vol. 52,1 (2018): 54-64. doi: https://doi.org/10.1515/raon-2017-0036
Potrc S, Ivanecz A, Pivec V, Marolt U, Rudolf S, Iljevec B, Jagric T. Impact Factors for Perioperative Morbidity and Mortality and Repercussion of Perioperative Morbidity and Long-term Survival in Pancreatic Head Resection. Radiol Oncol. 2017 Sep 14;52(1):54-64. doi: 10.1515/raon-2017-0036. eCollection 2018 Mar. PMID: 29520206; PMCID: PMC5839082.
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Radiol Oncol. 2017 Sep 14;52(1):54-64. doi: 10.1515/raon-2017-0036. eCollection 2018 Mar.

Impact Factors for Perioperative Morbidity and Mortality and Repercussion of Perioperative Morbidity and Long-term Survival in Pancreatic Head Resection.

Radiology and oncology

Stojan Potrc, Arpad Ivanecz, Vid Pivec, Urska Marolt, Sasa Rudolf, Bojan Iljevec, Tomaz Jagric

Affiliations

  1. Department of Abdominal Surgery, Surgical Clinic, University Medical Centre Maribor, Maribor, Slovenia.
  2. Department of Radiology, University Medical Centre Maribor, Maribor, Slovenia.

PMID: 29520206 PMCID: PMC5839082 DOI: 10.1515/raon-2017-0036

Abstract

BACKGROUND: The focus of the present study was to reveal any impact factors for perioperative morbidity and mortality as well as repercussion of perioperative morbidity on long-term survival in pancreatic head resection.

PATIENTS AND METHODS: In a retrospective study, clinic-pathological factors of 240 patients after pancreatic head (PD) or total resection were analyzed for correlations with morbidity, 30- and 90-day mortality, and long-term survival. According to Clavien-Dindo classification, all complications with grade II and more were defined as overall complications (OAC). OAC, all surgical (ASC), general (AGC) and some specific types of complications like leaks from the pancreatoenteric anastomosis (PEA) or pancreatic fistula (PF, type A, B and C), leaks from other anastomoses (OL), bleeding (BC) and abscesses (AA) were studied for correlation with clinic-pathological factors.

RESULTS: In the 9-year period, altogether 240 patients had pancreatic resection. The incidence of OAC was 37.1%, ASC 29.2% and AGC 15.8%. ASC presented themselves as PL, OL, BC and AA in 19% (of 208 PD), 5.8%, 5.8%, and 2.5% respectively. Age, ASA score, amylase on drains, and pancreatic fistulas B and C correlated significantly with different types of complications. Overall 30- and 90-day mortalities were 5 and 7.9% and decreased to 3.5 and 5% in P2.

CONCLUSIONS: High amylase on drains and higher mean age were independent indicators of morbidity, whereas PL and BC revealed as independent predictor for 30-day mortality, and physical status, OAC and PF C for 90-day mortality.

Keywords: complications; impact factors; pancreatic resections

Conflict of interest statement

Disclosure: No potential conflicts of interest were disclosed.

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