Completion pancreatectomy or a pancreas-preserving procedure during relaparotomy for pancreatic fistula after pancreatoduodenectomy: a multicentre cohort study and meta-analysis.

ABSTRACT:

Background

Despite the fact that primary percutaneous catheter drainage has become standard practice, some patients with pancreatic fistula after pancreatoduodenectomy ultimately undergo a relaparotomy. The aim of this study was to compare completion pancreatectomy with a pancreas-preserving procedure in patients undergoing relaparotomy for pancreatic fistula after pancreatoduodenectomy.

Methods

This retrospective cohort study of nine institutions included patients who underwent relaparotomy for pancreatic fistula after pancreatoduodenectomy from 2005-2018. Furthermore, a systematic review and meta-analysis were performed according to the PRISMA guidelines.

Results

From 4877 patients undergoing pancreatoduodenectomy, 786 (16 per cent) developed a pancreatic fistula gr

SUBMITTER: Groen JV 

PROVIDER: S-EPMC10364904 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature