Predictors for clinically relevant pancreatic fistulas after surgical treatment infected pancreatic necrosis.
- Authors: Kotelnikova L.1, Kudryavsev P.1
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Affiliations:
- Пермский государственный медицинский университет им. академика Е.А. Вагнера
- Issue: Vol 35, No 2 (2018)
- Section: Articles
- URL: https://journals.rcsi.science/PMJ/article/view/7558
- DOI: https://doi.org/10.17816/pmj352%25p
- ID: 7558
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Abstract
Aim to analyze the risk factors for clinically relevant pancreatic fistulas after surgical treatment of infected pancreatic necrosis. Methods and materials. We conducted a retrospective analysis of 44 successive cases of surgical treatment infected pancreatic necrosis. Risk factors for development clinically relevant pancreatic fistulas were investigated by Spearman’s correlation coefficient.
Results. In the follow-up the reoperations were performed due to pancreatic fistulas in 11,36% and to pseudocysts – in 9%. Conversely, a significant moderate correlation was observed between clinically relevant pancreatic fistulas and the following factors: pancreatic necrosis in the neck (r=0,31, p=0,00), its depth 50% and more (r=0,46, p=0,00), volume of drainage fluid output (r=0,55, p=0,00) and drain amylase level (r=0,53, p=0,00). Conclusion. Pancreatic necrosis in the neck, its depth 50% and more, volume of drainage fluid output more than 150 ml (r=0,55, p=0,00) and drain amylase level more 1000 U/L were risk factors for pancreatic fistulas after surgical treatment of infected pancreatic necrosis
About the authors
Luidmila Kotelnikova
Пермский государственный медицинский университет им. академика Е.А. Вагнера
Author for correspondence.
Email: splaksin@mail.ru
доктор медицинских наук, профессор кафедры хирургии ФДПО
Russian FederationPavel Kudryavsev
Email: hirfpk159@gmail.ru
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