The usefulness of a grading system for complications resulting from pancreatic resections: a single center experience

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• 作者：Riccardo Casadei (1)
  Claudio Ricci (1)
  Raffaele Pezzilli (2)
  Antonio Maria Morselli-Labate (2)
  Lucia Calculli (3)
  Marielda D’Ambra (1)
  Francesco Monari (1)
  Giovanni Taffurelli (1)
  Francesco Minni (1)
  
• 关键词：Pancreatic neoplasm ; Surgery ; Postoperative complications
• 刊名：Updates in Surgery
• 出版年：2011
• 出版时间：June 2011
• 年：2011
• 卷：63
• 期：2
• 页码：97-102
• 全文大小：177KB
• 参考文献：1. Simons JP, Shah SA, Ng SC et al (2009) National complication rates after pancreatectomy: beyond mere mortality. J Gastrointest Surg 13:1798-805 CrossRef
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  4. Wente MN, Veit JA, Bassi C et al (2007) Postpancreatectomy hemorrhage (PPH)—An International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery 142:20-5 CrossRef
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• 作者单位：Riccardo Casadei (1)
  Claudio Ricci (1)
  Raffaele Pezzilli (2)
  Antonio Maria Morselli-Labate (2)
  Lucia Calculli (3)
  Marielda D’Ambra (1)
  Francesco Monari (1)
  Giovanni Taffurelli (1)
  Francesco Minni (1)
  
  1. Dipartimento di Scienze Chirurgiche e Anestesiologiche, Chirurgia Generale-Minni, Alma Mater Studiorum, Università di Bologna, Policlinico S.Orsola-Malpighi, Via Massarenti n.9, 40138, Bologna, Italy
  2. Dipartimento di Malattie dell’Apparato Digerente e Medicina Interna, Alma Mater Studiorum, Università di Bologna, Policlinico S.Orsola-Malpighi, Bologna, Italy
  3. Dipartimento di Scienze Radiologiche e Istocitopatologiche, Alma Mater Studiorum, Università di Bologna, Policlinico S.Orsola-Malpighi, Bologna, Italy
  

文摘

The aim of this study was to test the usefulness of the Clavien–Dindo classification after pancreatic resection. In 183 patients who underwent pancreatic resections, complications were classified according to Clavien–Dindo classification and each grade was evaluated regarding the length of the postoperative stay and was compared to the most important complications. Sixty-four (35.0%) patients had no complications; out of the 119 (65.0%) patients with complications, grade I, was 9.3%; grade II, 35.5%; grade III, 9.3%; grade IV, 7.7% and grade V, 3.3%. The postoperative pancreatic fistula rate was 29.1%, postpancreatectomy hemorrhage, 35% and delayed gastric emptying, 11.5%. There was a progressive increase in the length of hospitalization from patients with no complications to those having grade IV (P?<?0.001). Postoperative pancreatic fistula, postpancreatectomy hemorrhage and delayed gastric empty rates significantly increased from Clavien–Dindo grade I to grade IV; only postoperative pancreatic fistula and postpancreatectomy hemorrhage severity significantly increased from grade I to grade IV (both P?<?0.001). The Clavien–Dindo classification is an objective, simple, and reliable way of reporting all complications following pancreatic resections and it allows to recognize appropriately all the most important complications after pancreatic resection, and the severity of postoperative pancreatic fistula and postpancreatectomy hemorrhage.