Factors affecting healing time of postoperative pancreatic fistula in patients undergoing pancreaticoduodenectomy

  • Authors:
    • Yoshito Tomimaru
    • Kozo Noguchi
    • Shingo Noura
    • Hiroshi Imamura
    • Takashi Iwazawa
    • Keizo Dono
  • View Affiliations

  • Published online on: February 21, 2019     https://doi.org/10.3892/mco.2019.1812
  • Pages: 435-440
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Abstract

Clinically‑relevant postoperative pancreatic fistula (CR‑POPF) is one of the most serious complications following pancreaticoduodenectomy. While many investigators have studied risk factors for the development of CR‑POPF, few studies have focused on time needed for CR‑POPF healing in patients who develop this complication. The present study enrolled 38 cases in whom CR‑POPF developed following pancreaticoduodenectomy (24.1%) out of 158 cases receiving treatment with pancreaticoduodenectomy between 2009 and 2017 for periampullary diseases. CR‑POPF healing time, was defined as the length of time from the day of pancreaticoduodenectomy to the day when intraabdominal drainage tubes used for CR‑POPF treatment were removed, were assessed and factors affecting the healing time were investigated. The mean CR‑POPF healing time was 40.2±21.7 days (median; 35 days, range; 10‑110 days). Univariate analysis demonstrated a significant relationship between CP‑POPE healing time and sex, intraoperative blood loss, and type of pancreaticojejunostomy procedure. Multivariate Cox regression analysis using these factors revealed that intraoperative blood loss and type of pancreaticojejunostomy procedure were significant independent factors for the length of CR‑POPF healing time. CR‑POPF healing time following pancreaticoduodenectomy was 40.2±21.7 days on average (median, 35 days; range 10‑110 days). Intraoperative blood loss and type of pancreaticojejunostomy procedure were identified as significant independent factors associated with the healing time. These results will help with earlier recovery from CR‑POPF.
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April-2019
Volume 10 Issue 4

Print ISSN: 2049-9450
Online ISSN:2049-9469

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Spandidos Publications style
Tomimaru Y, Noguchi K, Noura S, Imamura H, Iwazawa T and Dono K: Factors affecting healing time of postoperative pancreatic fistula in patients undergoing pancreaticoduodenectomy. Mol Clin Oncol 10: 435-440, 2019
APA
Tomimaru, Y., Noguchi, K., Noura, S., Imamura, H., Iwazawa, T., & Dono, K. (2019). Factors affecting healing time of postoperative pancreatic fistula in patients undergoing pancreaticoduodenectomy. Molecular and Clinical Oncology, 10, 435-440. https://doi.org/10.3892/mco.2019.1812
MLA
Tomimaru, Y., Noguchi, K., Noura, S., Imamura, H., Iwazawa, T., Dono, K."Factors affecting healing time of postoperative pancreatic fistula in patients undergoing pancreaticoduodenectomy". Molecular and Clinical Oncology 10.4 (2019): 435-440.
Chicago
Tomimaru, Y., Noguchi, K., Noura, S., Imamura, H., Iwazawa, T., Dono, K."Factors affecting healing time of postoperative pancreatic fistula in patients undergoing pancreaticoduodenectomy". Molecular and Clinical Oncology 10, no. 4 (2019): 435-440. https://doi.org/10.3892/mco.2019.1812