Κατεύθυνση Χειρουργική ΟγκολογίαLibrary of the School of Health Sciences
Γεώργιος Φραγκουλίδης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Γεώργιος Πολυμενέας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μανούσος Κωνσταντουλάκης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βιβλιογραφική ανασκόπηση πάνω στις επανεπεμβάσεις μετά από παγκρεατοδωδεκαδακτυλεκτομή
Completion pancreatectomy - systematic review.
Pancreatic cancer is associated with increased mortality rates and low 5-year survival rates. One of the reason is the recurrence of the disease despite the use of conservative and surgical therapeutic options, which can be as high as 80% of patients. On the other hand, resection of the tumor is the only effective therapeutic option, where it is, of course, appropriate. Pancreatic surgery is associated with a series of complications,
as well as increased morbitity and mortality rates.
The aim of this study is the study and presentation of reoperations after pancreatic surgery and specifically that of completion pancreatectomy. In the following pages we present the reasons why a patient who had surgery for pancreatic cancer was again led to the surgery this time for total pancreatectomy. Generally speaking, completion pancreatectomy indications are broadly classified into two categories:
A) treating postoperative complications that can not be treated conservativelly
B) recurrence of the disease to the pancreatic remnant
Additionally, complications after total pancreatectomy, morbidity and mortality, as well as the final outcome of the patients are examined and presented. For this purpose a systematic review of the literature was carried out.
Publications on reoperation after pancreas surgery and particularly completion pancreatectomy were examined. These publications were basically retrospective studies presenting patients series among surgical centers for pancreatic cancer worldwide. We also studied publications on a systematic review of the literature as well as case reports on the subject.
Main subject category:
Pancreatoduodenectomy, Whipple resection, Pancreatic fistula, Pancreatic cancer, Pancreatectomy, Completion pancreatectomy