The Grade C Pancreatic Fistula.
Diagnosis
Experience
Fistula
Intervention
Mentorship
Pancreas
Prevention
Risk
Journal
The Surgical clinics of North America
ISSN: 1558-3171
Titre abrégé: Surg Clin North Am
Pays: United States
ID NLM: 0074243
Informations de publication
Date de publication:
Oct 2024
Oct 2024
Historique:
medline:
6
9
2024
pubmed:
6
9
2024
entrez:
5
9
2024
Statut:
ppublish
Résumé
Grade C pancreatic fistulas are associated with severe morbidity and a significant risk of mortality. High-risk pancreatic anastomoses can be predicted to allow best practice fistula mitigation techniques. In these high-risk glands, any deviation from a stable postoperative clinical course should prompt early computed tomography and aggressive, percutaneous drainage of the operative bed. If salvage surgery is necessary, drainage of the operative bed and/or external diversion of pancreatic juice via stenting while completion pancreatectomy should be avoided. Senior mentorship in the perioperative period offers an opportunity to decrease this complication even in early career surgeons.
Identifiants
pubmed: 39237167
pii: S0039-6109(24)00036-7
doi: 10.1016/j.suc.2024.03.001
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1113-1120Informations de copyright
Copyright © 2024 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosures The author has nothing to disclose.