Research Article
Whipple’s Pancreatoduodenectomy in the Background of Chronic Liver Disease (CLD): An Institutional Experience
| | Variables | Case 1 | Case 2 | Case 3 | Case 4 |
| | Postop ICU stay (days) | 2 | 2 | 3 | 2 | | Postop blood transfusion (units) | 2 | 1 | 8 | 2 | | Local complications | Delayed gastric emptying (POD 5) | PJ leak (clinically significant) POD 6 | PJ leak (clinically significant) POD 5;
Delayed extraluminal haemorrhage (POD 8) | None | | Systemic complications | None | Chest infection | Hepatic encephalopathy;
Ascites;
Chest infection | None | | Postop hospital stay (days) | 9 | 10 | 10 | 9 | | Clavien–Dindo grading | II | IIIa | V | I | | Biospy (tumor stage) | T2N0M0 | T1N0M0 | T3N2M0 | T3N1M0 | | Margin status (R) | R0 | R0 | R0 | R0 | | Mortality (30 days) | No | No | Yes (POD 9) | No | | Postoperative adjuvant therapy | None | None | NA | Yes (gemcitabine-based chemotherapy) | | Follow-up mortality | No | No | NA | Yes (3 months after operation due to CLD decompensation) |
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