Clinical Study
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.
|