Redo surgery after duodenum-preserving pancreatic head resection for chronic pancreatitis: high incidence in long-term follow-up
Introduction: Duodenum-preserving pancreatic head resection is a safe procedure with a more favorable short-term outcome compared to pancreaticoduodenectomy. However, some patients develop mechanical complications or suspicion of malignancy during follow-up and need reoperation years after primary s...
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| Main Authors: | , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
23 April 2015
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| In: |
Journal of gastrointestinal surgery
Year: 2015, Volume: 19, Issue: 6, Pages: 1078-1085 |
| ISSN: | 1873-4626 |
| DOI: | 10.1007/s11605-015-2791-6 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1007/s11605-015-2791-6 Verlag, Volltext: https://link.springer.com/article/10.1007/s11605-015-2791-6 
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| Author Notes: | Sebastian Zach, Torsten J. Wilhelm, Felix Rückert, Florian Herrle, Marco Niedergethmann |
| Summary: | Introduction: Duodenum-preserving pancreatic head resection is a safe procedure with a more favorable short-term outcome compared to pancreaticoduodenectomy. However, some patients develop mechanical complications or suspicion of malignancy during follow-up and need reoperation years after primary surgery. Aim of this study was to evaluate incidence, techniques, and complication rates of redo operations. Materials and Methods: We reviewed short- and long-term outcomes of 33 patients who underwent duodenum-preserving pancreatic head resection for chronic pancreatitis from 1997 to 2010 at our department from a prospective database. Results: Short-term outcome after duodenum-preserving pancreatic head resection was comparable with previous data. Follow-up (mean 89 months) was achieved for 26 patients. Eight patients (30.1 %) needed a redo operation of which seven were performed. Indications were obstructive jaundice (four patients) and suspicion of cancer of pancreatic head (four patients; carcinoma confirmed in three patients). Mean interval between initial and redo operation was seven years for benign stenoses and 4 years for cancer. Three of seven operated patients needed revision. Conclusion: Need for redo operations after duodenum-preserving pancreatic head resection is high and these operations have high complication rates. In most cases, redo operations can be avoided by performing pancreaticoduodenectomy as initial operation. |
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| Item Description: | Gesehen am 18.01.2018 |
| Physical Description: | Online Resource |
| ISSN: | 1873-4626 |
| DOI: | 10.1007/s11605-015-2791-6 |