Morbidity and mortality of the conventional cephalic duodenopancreatectomy in patients with biliopancreatic confluent disease
Introduction: Cephalic duodenopancreatectomy is an increasingly frequent operation in selected patients. Objective: To identify the morbidity and mortality related to conventional cephalic duodenopancreatectomy. Methods: An observational, descriptive study of a series of 15 cases operated on cep...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
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ECIMED
2023-02-01
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| Series: | Revista Cubana de Medicina Militar |
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| Online Access: | https://revmedmilitar.sld.cu/index.php/mil/article/view/2318 |
| _version_ | 1797870063573794816 |
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| author | José Alejandro Gutiérrez Aguller Danilo Romaguera Barroso Zenén Rodríguez Fernández Oriol Valón Costa Ana Lubín García Lázaro Ibrahim Romero García |
| author_facet | José Alejandro Gutiérrez Aguller Danilo Romaguera Barroso Zenén Rodríguez Fernández Oriol Valón Costa Ana Lubín García Lázaro Ibrahim Romero García |
| author_sort | José Alejandro Gutiérrez Aguller |
| collection | DOAJ |
| description | Introduction: Cephalic duodenopancreatectomy is an increasingly frequent operation in selected patients.
Objective: To identify the morbidity and mortality related to conventional cephalic duodenopancreatectomy.
Methods: An observational, descriptive study of a series of 15 cases operated on cephalic duodenopancreatectomy. The variables were investigated: staging according to the Tumor, Linphonod, Metastasis (TNM) classification, pathological diagnosis, complications, surgical time and discharge status. Absolute number and percentage were used as summary measures for the variables staging and diagnosis; mean, median and range for surgical time and confidence interval for discharge status.
Results: The main pathological diagnosis was adenocarcinoma of the pancreas with 9 patients (60,1 %) and of the duodenum with 2 (13,3 %). Postoperative stage IIA was the one that prevailed with 5 (45,5 %) patients. Delayed gastric emptying was the prevailing surgical complication, with 7 (46,7 %) patients, followed by biliary fistula with 3 (20,0 %). Pancreatic fistula, superior mesenteric vein injury, and postoperative hemorrhage occurred only once (6,7 %), respectively. These last 2, caused the death of the patient in the first 48 hours of the postoperative period. Four (26,7 %) patients in the series died.
Conclusions: Postoperative complications are mainly observed at the expense of delayed gastric emptying and biliary and pancreatic fistula. Mortality may be related to the prolongation of surgical time equal to or greater than 5 hours with the consequent increase of blood loss. |
| first_indexed | 2024-04-10T00:22:31Z |
| format | Article |
| id | doaj.art-c4d557b894004ed4b34a1e3e45a0e50f |
| institution | Directory Open Access Journal |
| issn | 1561-3046 |
| language | Spanish |
| last_indexed | 2024-04-10T00:22:31Z |
| publishDate | 2023-02-01 |
| publisher | ECIMED |
| record_format | Article |
| series | Revista Cubana de Medicina Militar |
| spelling | doaj.art-c4d557b894004ed4b34a1e3e45a0e50f2023-03-15T22:06:37ZspaECIMEDRevista Cubana de Medicina Militar1561-30462023-02-01521e02302318e02302318713Morbidity and mortality of the conventional cephalic duodenopancreatectomy in patients with biliopancreatic confluent diseaseJosé Alejandro Gutiérrez Aguller0Danilo Romaguera Barroso1Zenén Rodríguez Fernández2Oriol Valón Costa3Ana Lubín García4Lázaro Ibrahim Romero García5Hospital Provincial Docente "Saturnino Lora" y Universidad de Ciencias Médicas de Santiago de CubaHospital Provincial Docente "Saturnino Lora" y Universidad de Ciencias Médicas de Santiago de CubaHospital Provincial Docente "Saturnino Lora" y Universidad de Ciencias Médicas de Santiago de CubaHospital Provincial Docente "Saturnino Lora" y Universidad de Ciencias Médicas de Santiago de CubaHospital Provincial Docente "Saturnino Lora" y Universidad de Ciencias Médicas de Santiago de CubaHospital Provincial Docente "Saturnino Lora" y Universidad de Ciencias Médicas de Santiago de CubaIntroduction: Cephalic duodenopancreatectomy is an increasingly frequent operation in selected patients. Objective: To identify the morbidity and mortality related to conventional cephalic duodenopancreatectomy. Methods: An observational, descriptive study of a series of 15 cases operated on cephalic duodenopancreatectomy. The variables were investigated: staging according to the Tumor, Linphonod, Metastasis (TNM) classification, pathological diagnosis, complications, surgical time and discharge status. Absolute number and percentage were used as summary measures for the variables staging and diagnosis; mean, median and range for surgical time and confidence interval for discharge status. Results: The main pathological diagnosis was adenocarcinoma of the pancreas with 9 patients (60,1 %) and of the duodenum with 2 (13,3 %). Postoperative stage IIA was the one that prevailed with 5 (45,5 %) patients. Delayed gastric emptying was the prevailing surgical complication, with 7 (46,7 %) patients, followed by biliary fistula with 3 (20,0 %). Pancreatic fistula, superior mesenteric vein injury, and postoperative hemorrhage occurred only once (6,7 %), respectively. These last 2, caused the death of the patient in the first 48 hours of the postoperative period. Four (26,7 %) patients in the series died. Conclusions: Postoperative complications are mainly observed at the expense of delayed gastric emptying and biliary and pancreatic fistula. Mortality may be related to the prolongation of surgical time equal to or greater than 5 hours with the consequent increase of blood loss.https://revmedmilitar.sld.cu/index.php/mil/article/view/2318confluente biliopancreáticocomplicacionesduodenopancreatectomía cefálicaestadificación, morbilidadmortalidad. |
| spellingShingle | José Alejandro Gutiérrez Aguller Danilo Romaguera Barroso Zenén Rodríguez Fernández Oriol Valón Costa Ana Lubín García Lázaro Ibrahim Romero García Morbidity and mortality of the conventional cephalic duodenopancreatectomy in patients with biliopancreatic confluent disease Revista Cubana de Medicina Militar confluente biliopancreático complicaciones duodenopancreatectomía cefálica estadificación, morbilidad mortalidad. |
| title | Morbidity and mortality of the conventional cephalic duodenopancreatectomy in patients with biliopancreatic confluent disease |
| title_full | Morbidity and mortality of the conventional cephalic duodenopancreatectomy in patients with biliopancreatic confluent disease |
| title_fullStr | Morbidity and mortality of the conventional cephalic duodenopancreatectomy in patients with biliopancreatic confluent disease |
| title_full_unstemmed | Morbidity and mortality of the conventional cephalic duodenopancreatectomy in patients with biliopancreatic confluent disease |
| title_short | Morbidity and mortality of the conventional cephalic duodenopancreatectomy in patients with biliopancreatic confluent disease |
| title_sort | morbidity and mortality of the conventional cephalic duodenopancreatectomy in patients with biliopancreatic confluent disease |
| topic | confluente biliopancreático complicaciones duodenopancreatectomía cefálica estadificación, morbilidad mortalidad. |
| url | https://revmedmilitar.sld.cu/index.php/mil/article/view/2318 |
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