Minimizing Occurrence of Pancreatic Fistula during Pancreatoduodenectomy (Pd) Procedure: An UpdateMohammad Abdul Mazid, Gazi Shahinur Akter, Zheng Hui Ye, Xiao-Ping Geng, Fu-Bao Liu, Yi-Jun Zhao, Fan-Huang, Kun Xie, Hong-Chuan Zhao*
Department of Hepatobiliary & Pancreatic Surgery and Liver Transplantation, Anhui Medical University, Anhui, China
- *Corresponding Author:
- Hong-Chuan Zhao
Department of Hepatobiliary & Pancreatic Surgery and Liver Transplantation
The First Affiliated Hospital of Anhui medical University
Anhui Medical University, 81 Meishan Road
Sushan District, Hefei 230032, Anhui, China
E-mail: [email protected]
Received date: February 15, 2017; Accepted date: February 20, 2017; Published date: February 27, 2017
Citation: Mazid MA, Akter GS, Ye ZH, Geng X, Liu F, et al. Minimizing Occurrence of Pancreatic Fistula during Pancreatoduodenectomy (Pd) Procedure: An Update. Journal of Surgery [Jurnalul de chirurgie]. 2017; 13(1): 11-16 DOI: 10.7438/1584-9341-13-1-3
Copyright: © 2017 Mazid MA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Pancreatic fistula (PF) is the most widely recognized complication of pancreaticoduodenectomy (PD) with diversely reported occurrence rates. Present review focusses on dissecting the surgical treatment modalities that leads to development of PF. Methods: A retrospective study with the use of hospital database as cases and controls was carried out. Data were tabulated and subjected to strong statistical analysis and inferences were drawn. Results: As observed the occurrence of PF did not differ in terms of mean age, sex, surgical timings to the procedure, anastomosis techniques or vascular resection. Conclusion: The surgical approach for PF is related with a higher mortality and morbidity. There is no preferred method of performing pancreatectomy as any procedure can give rise to same mortality rates and risk of endocrine deficiency. In instances of muddled PF, radiological or surgical conservative treatment is needed and surgically duct to mucosal double layered anastomosis have been successful in reducing the PF rates and its validation is still awaited from the trials.