Distal Pancreatectomy--own experience

Pol Przegl Chir. 2012 Jun;84(6):298-303. doi: 10.2478/v10035-012-0050-z.

Abstract

The aim of the study: was the retrospective analysis of early results after distal pancreatectomy (DP).

Material and methods: During the period between January, 2000 and December, 2010 distal pancreatectomy was performed in 73 patients, including 32 (43.83%) male, and 41 (56.16%) female patients. Average patient age amounted to 53.92 ± 14.37 years. Surgery was performed by means of laparoscopy or the classical method.

Results: The mean duration of the procedure amounted to 179.79 ± 59.90 minutes. Fifty-nine (80.82%) patients were subject to splenectomy. After the resection the pancreatic stump was hand-sewn in 69 patients. Pancreatoenterostomy was performed in 4 (5.47%) patients. Early postoperative complications occurred in 11 (15%) patients. Reoperation was required in two (2.7 %) patients. The postoperative mortality rate amounted to 2.7%. The average hospitalization period after surgery amounted to 12.72 ± 9.8 (1- 66) days.

Conclusions: Distal pancreatectomy performed in a center experienced in pancreatic surgery is a safe procedure characterized by a low rate of complications and mortality.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Laparoscopy / methods
  • Laparoscopy / statistics & numerical data
  • Male
  • Middle Aged
  • Pancreatectomy / methods*
  • Pancreatectomy / statistics & numerical data*
  • Pancreatic Diseases / epidemiology
  • Pancreatic Diseases / surgery*
  • Poland / epidemiology
  • Postoperative Care / methods
  • Postoperative Complications / epidemiology
  • Retrospective Studies
  • Severity of Illness Index
  • Time Factors
  • Treatment Outcome