Complications of pancreatic surgery

Abstract

Pancreatic resection is the only treatment option that can lead to a meaningful prolonged survival in pancreatic cancer and, in some instances, perhaps a potential chance for cure. With the advent of organ and function preserving procedures, its use in the treatment of chronic pancreatitis and other less common benign diseases of the pancreas is increasing. Furthermore, over the past two decades, with technical advances and centralization of care, pancreatic surgery has evolved into a safe procedure with mortality rates of <5%. However, postoperative morbidity rates are still substantial. This article reviews the more common procedure-related complications, their prevention and their treatment.

Diagnosis and management of pancreatic cancer

“…40 Common postsurgical complications include delayed gastric emptying (5%-45%) and pancreatic anastomotic leaks (0%-13%). 41,42 Delayed gastric emptying manifests as failure of dietary progression after 7 days, prolonged use of nasogastric decompression or emesis upon re moval requiring reinsertion. 43 Management includes continued nasogastric decompression, use of promotility agents (metaclopromide, erythromycin) and ongoing nutritional support (jejunal or parenteral), 41 with resolution usually within 2-6 weeks.…”

Study of Surgical Complications of Pancreatitis

“…In present study longitudinal pancreaticojejunostomy was done in 15.90% of patients. In study of Beger et al [21] , longitudinal pancreatico- In study by Choon-Kiat Ho et al [22] , showed that organ preserving procedures for chronic pancreatitis such as Frey, Beger combines good efficacy for pain relief with low surgical morbidity and mortality in 75-80% cases.…”

Pancreatic cancer: treatment approaches and trends

“…The distal pancreactectomy removes the body and tail of the pancreas, some nearby lymph nodes, and sometimes the spleen and its blood vessels. The total pancreactectomy removes the gallbladder, duodenum, part of the bile duct and stomach, nearby lymph nodes, and sometimes the spleen [26][27][28] . The prognosis for patients that go through resection depends on margin status.…”