Decision-making in high-risk leakage duodenopancreatectomy:pancreatic anastomosis or total pancreatectomy?  

作　　者：Lazare Sommier Fabrizio Panaro 

机构地区：[1]Division of HBP Surgery and Transplantation,Department of Surgery,Montpellier University Hospital,School of Medicine,Montpellier,France

出　　处：《Hepatobiliary Surgery and Nutrition》2023年第4期567-569,共3页肝胆外科与营养（英文）

摘　　要：The Italian team from Verona,questions the place of total pancreatectomy(TP)as an alternative to pancreaticoduodenectomy(PD)in patients at high risk of pancreatic fistula in a monocentric retrospective study running from July 2017 to December 2019(1).A total of 702 patients were included,566 PD of which 101 were at high risk of pancreatic fistula(HR-PD),136 TP of which 86 were PD converted to TP(C-TP)for positive margin of pancreatic section for malignancy(49%),extensive vascular resection(14%)or technical reasons(27%)such as residual non-reconstructible pancreas/friable pancreas/microscopic Wirsung’s duct,10% for other reasons(bleeding......)Patients in the HR-PD group received externalized stent of the Wirsung duct.

关 键 词：High risk FISTULA pancreatic anastomosis pancreaticoduodenectomy(PD) total pancreatectomy(TP) 

分 类 号：R657.5[医药卫生—外科学]