Completion pancreatectomy for XXXX after pancreaticoduodenectomy: early and late outcome.

@entity1 @entity295 @entity548 @entity189 @entity177 @entity3472 @entity86 @entity1320
HYPOTHESIS: Completion pancreatectomy in @entity1 with pancreatic leakage associated with @entity86 after pancreaticoduodenectomy is a viable salvage procedure. DESIGN: Retrospective analysis from a cohort of consecutive @entity1 admitted between January 1, 1989, and December 31, 1999, for @entity86 originating from pancreaticojejunostomy leakage. SETTING: Tertiary referral center with surgical intensive care unit specializing in the treatment of @entity1320 . @entity1 : Eight consecutive @entity1 with @entity86 originating from pancreaticojejunostomy after pancreaticoduodenectomy, with a mean Acute Physiology and Chronic Health Evaluation II score of 18.6. We excluded @entity1 with @entity3472 or abscesses amenable to percutaneous drainage or other conservative treatment. INTERVENTION: Completion pancreatectomy. MAIN OUTCOME MEASURES: Mortality, morbidity, and long-term outcome, which was assessed by interview. RESULTS: Three @entity1 died in the postoperative period: 2 required early reoperation during the postoperative period and died of @entity548 and @entity295 , and 1 died of @entity177 without reoperation. Recurrence of @entity189 was responsible for late death of 2 other @entity1 . CONCLUSIONS: @entity86 after pancreaticoduodenectomy still has high mortality; however, completion pancreatectomy may represent the only means to achieve source control of infection in cases of @entity86 .
