Reoperation following Pancreaticoduodenectomy

Table 1

Changes over time.

	1989–2000	2000–2005	2006–2010
Number of pancreaticoduodenectomies	160	132	228
Incidence of PPH	20% (32/160)	24.2% (32/132)	13.1% (30/228)
reoperation rate	17.5% (28/160)	21.2% (28/132)	9.6% (22/228)
Indications for reoperation
(i) PPH	20	21	12
(ii) PJ leak with intra-abdominal collection	4	4	2
(iii) HJ leak		1	2
(iv) DJ/GJ leak	2		2
(v) Miscellaneous	2	2	4
Overall in-hospital mortality	11.9% (19/160)	9% (12/132)	4.8% (11/228)
In-hospital mortality following early reoperation	42.8% (12/28)	28.5% (8/28)	27.2% (6/22)
In-hospital mortality in patients not undergoing early reoperation	5.3% (7/132)	3.8% (4/104)	2.4% (5/206)

PPH: post pancreatectomy hemorrhage; PJ: pancreaticojejunostomy; HJ: hepaticojejunostomy; DJ: duodenojejunostomy; GJ: gastrojejunostomy.