Characteristics of the Gland Remnant Predict Complications after Subtotal Pancreatectomy

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Abstract
In 74 patients consecutively operated on with subtotal pancreatectomy (pancreatic duct ligation and no pancreatico-digestive anastomosis) for cancer, we analyzed to what extent size and grade of fibrosis of the gland remnant and the type of cancer (diagnosis), respectively, influenced the risk of early complications after subtotal pancreatectomy. Of the 74 patients 34 (46%) had 52 complications, corresponding to 1.5 complications per patient. Seven patients (9%) needed a reoperation. The 30 days’ mortality was 4% and hospital mortality 5%. The risk of postoperative complications was significantly reduced in the presence of fibrosis of the pancreatic remnant (p

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