1. Multicentric Study on Total Pancreatectomies
- Author
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Jose M. Ramia, Elena Martin-Perez, Ignasi Poves, Joan Fabregat-Prous, Javier Larrea y Olea, Francisco Sanchez-Bueno, Francisco Botello-Martinez, Javier Briceño, Alberto Miyar-de León, Mario Serradilla, Angel Moya-Herraiz, Joan Fabregat Prous, Lluis Secanella, Javier Larrea, null Olea, Francisco Sanchez Bueno, Francisco Botello Martinez, Alejandro Serrablo, Joana Ferrer Fabrega, S. Sanchez Cabús, Miguel Angel Gómez Bravo, Javier Padillo, Laia Blanco, J. Balcells, Esteban Cugat, Maribel García Domingo, Luis Muñoz Bellvis, Maria Dolores Perez Diaz, Julio Santoyo Santoyo, Belinda Sanchez, Trinidad Villegas, Silvino Pacho, Luis Díez Valladares, Jose Rebollar, Miguel Ángel Suárez Muñoz, Elías Domínguez, Elena Martín Perez, Laia Falgueras, Vicenç Artigas, Luis Sabater, Agustin Garcia Gil, Jose Ignacio Miota de Llama, Gerardo Manzanet, Jose Carlos Pino, Juan Carlos Rodríguez Sanjuán, F. Lluis, Fabio Ausania, Maialen Alkorta Zuloaga, Jorge Escartín, Manel Salas, Carlos Domingo, Enrique Artigues Sánchez de Rojas, José Antonio Barreras Mateos, José María Fernández Cebrián, Beatriz Pérez Cabrera, D. Padilla Valverde, Alfonso Sanjuanbenito, Ignacio Iturburu Belmonte, Natalia Bejarano, F. García Borobia, Pablo Toral Guinea, Aylhin Lopez Marcano, Francisco Asencio Arana, Evaristo Varo, Rafael Esteban, Juan L. Blas, José M. Jover Navalón, Cristina Fernández Martínez, Enrique Daban Collado, Antonio Calvo Duran, J.C. Vicens, J. Romero, J.M. Badía, Raquel Sánchez, Ricardo de Miguel Ibáñez, Fernando Pardoc, Carlos Francos von Hunefeld, Fernando Pereira, Francisco Garcia Molina, Ignacio Rodríguez Prieto, Alfredo Alonso Poza, Carlos Gilsanz, Jose Miguel Martínez Albert, Miguel Angel Morcillo, Sagrario Martínez Cortijo, José Martín Fernández, Jesús Baquedano, José Castell, Javier Aguiló, and Juan Carlos Bernal
- Subjects
medicine.medical_specialty ,Intraductal papillary mucinous neoplasm ,business.industry ,medicine.medical_treatment ,General Engineering ,medicine.disease ,Pancreaticoduodenectomy ,Surgery ,medicine.anatomical_structure ,Pancreatic cancer ,Radiological weapon ,medicine ,Adenocarcinoma ,Pancreatitis ,Pancreas ,business ,Artery - Abstract
Introduction Total pancreatectomy (TP) is an uncommon operation, with indications that have not been clearly defined and non-standardized postoperative results. We present a national multicentric study on TP and a comparison with the existing literature. Methods A prospective observational study using data from the national registry of patients after pancreaticoduodenectomy and TP performed for any indication during the study period: January 1–December 31, 2015. Results 1016 patients were included from 73 hospitals, 112 of whom had undergone TP. The percentage of TP from the total number of cases was 11%. The mean age was 63.5 years, and 57.2% were males. The most frequently suspected radiological diagnosis was pancreatic cancer (58/112 cases). The most common TP technique was “mesentery artery first” (43/112 cases). Venous resections were performed in 23 patients (20.5%). The percentage of postoperative complications within 90 days was 50%, but major complications (>IIIA) were only 20.7%. The overall 90-day mortality was 8% (9 patients). The average stay was 20.7 days. The 3 most frequent definitive histological diagnoses were: adenocarcinoma of the pancreas, intraductal papillary mucinous neoplasm and chronic pancreatitis. The R0 rate was 67.8%. Conclusions This study shows that the morbidity and mortality results of TP in Spain are similar or superior to previous publications. More precise TP studies are necessary, focused on specific complications such as endocrine insufficiency.
- Published
- 2019
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