A team from Sacramento, California, USA, identified disease and technique-dependent factors associated with morbidity and mortality after distal pancreatectomy.
They conducted a retrospective review of 51 patients who underwent distal pancreatectomy during a 5-year period.
Clinical, technical, and pathologic data were correlated with operative morbidity or mortality.
The patients underwent distal pancreatectomy for primary pancreatic disease, extrapancreatic malignancy, or trauma.
Overall perioperative mortality and morbidity rates were 4% and 47%, respectively.
|Perioperative complication rates:|
| Amercian Journal of Surgery |
The researchers found that pancreatic leak was the most common complication, occurring in 26% of patients.
Overall complications and pancreatic leaks occurred more often after distal pancreatectomy for trauma and in patients with a sutured pancreatic stump closure.
Author B. N. Fahy, of the University of California, in Davis, Sacramento, said on behalf of the group, "Distal pancreatectomy can be performed with a low rate of mortality, though pancreatic leak is a common cause of morbidity."
"The urgency of the procedure and the method of pancreatic stump closure may influence postoperative morbidity," it was concluded.