Single Center Experience in Pancreatic Surgery

Chirurgia (Bucur). 2020 Nov-Dec;115(6):735-746. doi: 10.21614/chirurgia.115.6.735.

Abstract

Introduction: We present our department experience in pancreatic surgery over the last 6 years. From its inception the number of pancreatic resections has been continuously growing each year. Method: We performed a retrospective analysis of a prospectively maintained database where we included all the patients with pancreatic resections over the last 6 years. We present the main indication and the different types of pancreatic resections, postoperative morbidity, intrahospital and 90-day mortality and an analysis of survival for the patients with pancreatic ductal adenocarcinoma. Results: We analyzed 198 patients, 193 with pancreatic resections and 5 patients with open surgery microwave ablation. There were 145 pancreaticoduodenectomies, 37 distal pancreatectomies, one total pancreatectomy, 3 distal pancreatectomies with celiac axis resection and 7 surgical interventions for chronic pancreatitis. Conclusion: We presented our center's experience in pancreatic surgery with good overall results, however, there is still room for continuous improvement and refinements to achieve better shortterm outcomes, regarding postoperative morbidity and mortality.

Keywords: distalpancreatectomy; microwaveablation; pancreaticoduodenectomy; pancreaticsurgery.

MeSH terms

  • Ablation Techniques
  • Carcinoma, Pancreatic Ductal* / surgery
  • Humans
  • Microwaves / therapeutic use
  • Pancreatectomy*
  • Pancreatic Neoplasms* / surgery
  • Pancreaticoduodenectomy*
  • Pancreatitis, Chronic / surgery
  • Retrospective Studies
  • Treatment Outcome