Total pancreatectomy and pancreatic fistula: friend or foe?
Completion pancreatectomy
High-risk pancreas
Pancreatic fistula
Total pancreatectomy
Journal
Updates in surgery
ISSN: 2038-3312
Titre abrégé: Updates Surg
Pays: Italy
ID NLM: 101539818
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
29
05
2021
accepted:
12
07
2021
pubmed:
8
8
2021
medline:
16
10
2021
entrez:
7
8
2021
Statut:
ppublish
Résumé
Postoperative pancreatic fistula (POPF) still represents the major driver of surgical morbidity after pancreaticoduodenectomy. The purpose of this narrative review was to critically analyze current evidence supporting the use of total pancreatectomy (TP) to prevent the development of POPF in patients with high-risk pancreas, and to explore the role of completion total pancreatectomy (CP) in the management of severe POPF. Considering the encouraging perioperative outcomes, TP may represent a promising tool to avoid the morbidity related to an extremely high-risk pancreatic anastomosis in selected patients. Surgical management of severe POPF is only required in few critical scenarios. In this context, even if anecdotal, CP might play a role as last resort in expert hands.
Identifiants
pubmed: 34363601
doi: 10.1007/s13304-021-01130-3
pii: 10.1007/s13304-021-01130-3
pmc: PMC8397676
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1231-1236Informations de copyright
© 2021. The Author(s).
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