Pancreatic fistula after pancreatectomy
10.3760/cma.j.issn.1673-4203.2009.09.015
- VernacularTitle:胰腺切除术后胰瘘的研究进展
- Author:
Hongcheng WANG
;
Xinyu HUANG
- Publication Type:Journal Article
- Keywords:
pancreatic fistula;
treatment;
prevention
- From:
International Journal of Surgery
2009;36(9):617-620
- CountryChina
- Language:Chinese
-
Abstract:
Pancreatic resection is the treatment choice for pancreatic malignancy and cer-tain benign pancreatic disorders. Althogh, pancreatic resection requires high techndogy whereas current mortality after a pancreaticoduodenectomy has dropped to below 3 % in expe-rienced high-volume centers and post-operative morbidity is still as high as 50%. At pres-ent, the single most significant cause of morbidity and mortality after pancreatectomy is the development of pancreatic leakage and fistula (PF). The occurrence of a PF increases the length of hospital stay and the cost of treatment, requires additional investigations and proce-dures, and can result in life-threatening complications. Early recognition of a PF and prompt institution of appropriate treatment is critical to the prevention of potentially devastating con-sequences; however there is no universally accepted definition of PF that would allow stand-ardized reporting and proper comparison of outcomes between different centers. The present article reviews the conlept evolution of PF and discusses the current preventive strategies.
